Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993454 DEA: 040K8004 EFIS: 0416000141 COOP: 042892
QA Service Level: 1
DIST-CO-RTE-PM: 04-MRN-101-13.7
Work Description: CONSTRUCT ROUNDABOUT, CURB RAMPS AND SW, SIGNAL AND LIGHTING SYSTEMS.
Location Description: MARIN COUNTY IN SAN RAFAEL AT FREITAS PARKWAY OVERCROSSING
Contractor Name: GHILOTTI BROS., INC.
Contractor Address: 525 JACOBY STREET, SAN RAFAEL CA 94901
Resident Engineer: Dawit Habteselassie Structure Rep.: Jeremy Light
DIME Sample ID: 2026-05-04-43
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - Richmond Field Laboratory
Sample Organization Contact: (510) 385-7413
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 05/04/2026
Date that the sample was received by the laboratory/organization performing the testing: 05/04/2026
The quantity of what the sample constitutes: 4 Boxes 1 Bag
A brief description of the sample: 3/4 HMA
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Dutra San Rafael
DIME Test ID: 2026-05-04-43-1
Test Method: AASHTO T275-07r12: Standard Method of Test for Bulk Specific Gravity (Gmb) of Compacted Asphalt Mixtures Using Paraffin-Coated Specimens (Bulk Specific Gravity)
Verified Date: 05/13/2026
Date Tested: 05/04/2026
Submitted By Organization: CT D04 - Richmond Field Laboratory
Organization Address: 3401 Regatta Blvd.,
Organization City: Richmond
Organization State: CA
Organization Zipcode: 94804
Organization Email: ignacio.arechiga@dot.ca.gov
Organization Phone: (510) 385-7413
General Comments for this Test: Passed
Test Result Compliance: complies
Additional Comments When Verified:
|
Bulk Specific Gravity
|
2.316
|
|
Bulk Specific Gravity 2
|
2.309
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|
Bulk Specific Gravity 3
|
2.305
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Average Bulk Specific Gravity
|
2.31
|
DIME Test ID: 2026-05-04-43-2
Test Method: AASHTO T209-25: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)
Verified Date: 05/13/2026
Date Tested: 05/04/2026
Submitted By Organization: CT D04 - Richmond Field Laboratory
Organization Address: 3401 Regatta Blvd.,
Organization City: Richmond
Organization State: CA
Organization Zipcode: 94804
Organization Email: ignacio.arechiga@dot.ca.gov
Organization Phone: (510) 385-7413
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
|
Number of Samples
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2
|
|
What is the unit of measurement for theoretical density?
|
US Units
|
|
Mass Determination
|
Air
|
|
Method Performed
|
Mechanical Agitation - Method A
|
|
Mass of container filled with water 1
|
7381 grams
|
|
Mass of oven-dry sample in air for Sample 1
|
2538 grams
|
|
Mass of container filled with the sample and water for Sample 1
|
8893 grams
|
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Mass of container filled with water 2
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7381 grams
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Mass of oven-dry sample in air for Sample 2
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2515.6 grams
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Mass of container filled with the sample and water for Sample 2
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8876.8 grams
|
|
Temperature of Water
|
72 °F
|
|
Specific Gravity for Sample 1
|
2.474
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|
Specific Gravity for Sample 2
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2.467
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Average Specific Gravity
|
2.471
|
|
Theoretical maximum density at 25°C (77°F)
|
153.8 lb/ft^3
|
DIME Test ID: 2026-05-04-43-3
Test Method: AASHTO T308-25: Standard Method of Test for Determining the Asphalt Binder Content of Hot Mix Asphalt (HMA) by the Ignition Method (Method A) (Asphalt Binder Content)
Verified Date: 05/13/2026
Date Tested: 05/04/2026
Submitted By Organization: CT D04 - Richmond Field Laboratory
Organization Address: 3401 Regatta Blvd.,
Organization City: Richmond
Organization State: CA
Organization Zipcode: 94804
Organization Email: ignacio.arechiga@dot.ca.gov
Organization Phone: (510) 385-7413
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
|
What temperature unit is used?
|
Celsius
|
|
Test procedure used?
|
Method A
|
|
Mass of the specimen basket assembly
|
2865.5 g
|
|
Mass of the specimen and specimen basket assembly prior to ignition
|
5389.9 g
|
|
Corrected Asphalt Binder Content
|
5.25 %
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|
Mass of HMA Sample prior to ignition
|
2524.4 g
|
|
Mass Loss
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154.1 g
|
|
Mass of aggregate remaining after ignition
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2370.3 g
|
|
Correction Factor (Percent by mass of HMA Specimen)
|
0.73 %
|
|
Moisture Content
|
no data0 %
|
|
Temperature Compensation Factor
|
0.12 %
|
|
Test Temperature
|
538 C
|
DIME Test ID: 2026-05-04-43-4
Test Method: AASHTO T308-10: Standard Method of Test for Determining the Asphalt Binder Content of Hot Mix Asphalt (HMA) by the Ignition Method (Method A) (Asphalt Binder Content)
Verified Date: 05/13/2026
Date Tested: 05/04/2026
Submitted By Organization: CT D04 - Richmond Field Laboratory
Organization Address: 3401 Regatta Blvd.,
Organization City: Richmond
Organization State: CA
Organization Zipcode: 94804
Organization Email: ignacio.arechiga@dot.ca.gov
Organization Phone: (510) 385-7413
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
|
What temperature unit is used?
|
Celsius
|
|
Test procedure used?
|
Method A
|
|
Mass of the specimen basket assembly
|
2883.7 g
|
|
Mass of the specimen and specimen basket assembly prior to ignition
|
4934.7 g
|
|
Mass of HMA Sample prior to ignition
|
2051 g
|
|
Corrected Asphalt Binder Content
|
5.62 %
|
|
Mass Loss
|
133.4 g
|
|
Mass of aggregate remaining after ignition
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1917.6 g
|
|
Correction Factor (Percent by mass of HMA Specimen)
|
0.73 %
|
|
Moisture Content
|
no data0 %
|
|
Temperature Compensation Factor
|
0.15 %
|
|
Test Temperature
|
538 C
|
DIME Test ID: 2026-05-04-43-5
Test Method: AASHTO T30-19: Standard Method of Test for Mechanical Analysis of Extracted Aggregate (Mechanical Analysis)
Verified Date: 05/13/2026
Date Tested: 05/04/2026
Submitted By Organization: CT D04 - Richmond Field Laboratory
Organization Address: 3401 Regatta Blvd.,
Organization City: Richmond
Organization State: CA
Organization Zipcode: 94804
Organization Email: ignacio.arechiga@dot.ca.gov
Organization Phone: (510) 385-7413
General Comments for this Test:
Test Result Compliance: not applicable
Additional Comments When Verified:
|
Is an aggregate correction factor used?
|
Yes
|
|
Aggregate correction factor for the 2 in. sieve (% passing)
|
no data0 %
|
|
Aggregate correction factor for the 1 1/2 in. sieve (% passing)
|
no data0 %
|
|
Aggregate correction factor for the 1 in. sieve (% passing)
|
no data0 %
|
|
Aggregate correction factor for the 3/4 in. sieve (% passing)
|
0.2 %
|
|
Aggregate correction factor for the 1/2 in. sieve (% passing)
|
-2.6 %
|
|
Aggregate correction factor for the 3/8 in. sieve (% passing)
|
-7.2 %
|
|
Aggregate correction factor for the 1/4 in. sieve (% passing)
|
-6.1 %
|
|
Aggregate correction factor for the #4 sieve (% passing)
|
-6.1 %
|
|
Aggregate correction factor for the #8 sieve (% passing)
|
-4.8 %
|
|
Aggregate correction factor for the #16 sieve (% passing)
|
-3.7 %
|
|
Aggregate correction factor for the #30 sieve (% passing)
|
-2.9 %
|
|
Aggregate correction factor for the #50 sieve (% passing)
|
-2.1 %
|
|
Aggregate correction factor for the #100 sieve (% passing)
|
-1.3 %
|
|
Aggregate correction factor for the #200 sieve (% passing)
|
-0.5 %
|
|
Cumulative percent passing the 2 in. sieve
|
100 %
|
|
Cumulative percent passing the 1 1/2 in. sieve
|
100 %
|
|
Cumulative percent passing the 1 in. sieve
|
100 %
|
|
Cumulative percent passing the 3/4 in. sieve
|
100 %
|
|
Cumulative percent passing the 1/2 in. sieve
|
84 %
|
|
Cumulative percent passing the 3/8 in. sieve
|
67 %
|
|
Cumulative percent passing the 1/4 in. sieve
|
34 %
|
|
Cumulative percent passing the #4 sieve
|
34 %
|
|
Cumulative percent passing the #8 sieve
|
20 %
|
|
Cumulative percent passing the #16 sieve
|
13 %
|
|
Cumulative percent passing the #30 sieve
|
8 %
|
|
Cumulative percent passing the #50 sieve
|
5 %
|
|
Cumulative percent passing the #100 sieve
|
2 %
|
|
Cumulative percent passing the #200 sieve
|
no data0 %
|
DIME Test ID: 2026-05-04-43-6
Test Method: AASHTO T30-19: Standard Method of Test for Mechanical Analysis of Extracted Aggregate (Mechanical Analysis)
Verified Date: 05/13/2026
Date Tested: 05/04/2026
Submitted By Organization: CT D04 - Richmond Field Laboratory
Organization Address: 3401 Regatta Blvd.,
Organization City: Richmond
Organization State: CA
Organization Zipcode: 94804
Organization Email: ignacio.arechiga@dot.ca.gov
Organization Phone: (510) 385-7413
General Comments for this Test:
Test Result Compliance: not applicable
Additional Comments When Verified:
|
Is an aggregate correction factor used?
|
Yes
|
|
Aggregate correction factor for the 2 in. sieve (% passing)
|
no data0 %
|
|
Aggregate correction factor for the 1 1/2 in. sieve (% passing)
|
no data0 %
|
|
Aggregate correction factor for the 1 in. sieve (% passing)
|
no data0 %
|
|
Aggregate correction factor for the 3/4 in. sieve (% passing)
|
0.2 %
|
|
Aggregate correction factor for the 1/2 in. sieve (% passing)
|
-2.6 %
|
|
Aggregate correction factor for the 3/8 in. sieve (% passing)
|
-7.2 %
|
|
Aggregate correction factor for the #4 sieve (% passing)
|
-6.1 %
|
|
Aggregate correction factor for the #8 sieve (% passing)
|
-4.8 %
|
|
Aggregate correction factor for the #16 sieve (% passing)
|
-3.7 %
|
|
Aggregate correction factor for the #30 sieve (% passing)
|
-2.9 %
|
|
Aggregate correction factor for the #50 sieve (% passing)
|
-2.1 %
|
|
Aggregate correction factor for the #100 sieve (% passing)
|
-1.3 %
|
|
Aggregate correction factor for the #200 sieve (% passing)
|
-0.5 %
|
|
Cumulative percent passing the 2 in. sieve
|
100 %
|
|
Cumulative percent passing the 1 1/2 in. sieve
|
100 %
|
|
Cumulative percent passing the 1 in. sieve
|
100 %
|
|
Cumulative percent passing the 3/4 in. sieve
|
100 %
|
|
Cumulative percent passing the 1/2 in. sieve
|
86 %
|
|
Cumulative percent passing the 3/8 in. sieve
|
67 %
|
|
Cumulative percent passing the #4 sieve
|
35 %
|
|
Cumulative percent passing the #8 sieve
|
21 %
|
|
Cumulative percent passing the #16 sieve
|
13 %
|
|
Cumulative percent passing the #30 sieve
|
9 %
|
|
Cumulative percent passing the #50 sieve
|
5 %
|
|
Cumulative percent passing the #100 sieve
|
2 %
|
|
Cumulative percent passing the #200 sieve
|
no data0 %
|