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: 2026-05-08-38
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: 05/08/2026
Date that the sample was received by the laboratory/organization performing the testing: 05/08/2026
The quantity of what the sample constitutes: 4 boxes
A brief description of the sample: L1SL4
From where was the sample collected: Supplier
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Dutra San Rafael
DIME Test ID: 2026-05-08-38-1
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: 05/14/2026
Date Tested: 05/08/2026
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:
|
Number of Samples
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1
|
|
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
|
2575.9 grams
|
|
Mass of container filled with the sample and water for Sample 1
|
8917.3 grams
|
|
Temperature of Water
|
72 °F
|
|
Specific Gravity for Sample 1
|
2.478
|
|
Theoretical maximum density at 25°C (77°F)
|
154.2 lb/ft^3
|
DIME Test ID: 2026-05-08-38-2
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: 05/14/2026
Date Tested: 05/08/2026
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: does not comply
Additional Comments When Verified:
|
What temperature unit is used?
|
Celsius
|
|
Test procedure used?
|
Method A
|
|
Mass of the specimen basket assembly
|
2860.7 g
|
|
Mass of the specimen and specimen basket assembly prior to ignition
|
4953.7 g
|
|
Mass of HMA Sample prior to ignition
|
2093 g
|
|
Corrected Asphalt Binder Content
|
4.54 %
|
|
Mass Loss
|
113.3 g
|
|
Mass of aggregate remaining after ignition
|
1979.7 g
|
|
Correction Factor (Percent by mass of HMA Specimen)
|
0.73 %
|
|
Moisture Content
|
no data0 %
|
|
Temperature Compensation Factor
|
0.14 %
|
|
Test Temperature
|
538 C
|
DIME Test ID: 2026-05-08-38-3
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: 05/14/2026
Date Tested: 05/08/2026
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: does not comply
Additional Comments When Verified:
|
What temperature unit is used?
|
Celsius
|
|
Test procedure used?
|
Method A
|
|
Mass of the specimen basket assembly
|
2867.4 g
|
|
Mass of the specimen and specimen basket assembly prior to ignition
|
4913.6 g
|
|
Mass of HMA Sample prior to ignition
|
2046.2 g
|
|
Corrected Asphalt Binder Content
|
4.86 %
|
|
Mass Loss
|
117.4 g
|
|
Mass of aggregate remaining after ignition
|
1928.8 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: 2026-05-08-38-4
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: 05/14/2026
Date Tested: 05/08/2026
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:
|
Bulk Specific Gravity
|
2.33
|
|
Bulk Specific Gravity 2
|
2.362
|
|
Average Bulk Specific Gravity
|
2.346
|
DIME Test ID: 2026-05-08-38-5
Test Method: AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)
Verified Date: 05/14/2026
Date Tested: 05/08/2026
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:
|
Percent Air Voids
|
6 %
|
|
Percent Air Voids 2
|
4.7 %
|
|
Average Percent Air Voids
|
5.3 %
|
|
Average Core Density
|
94.7 %
|
