Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994310 DEA: 034F6504 EFIS: 0314000233
QA Service Level: 1
DIST-CO-RTE-PM: 03-YOL-50,80-0.0/2.5,4.1/R11.4
Work Description: CRCP, HMA (TYPE A), RDWY EXC, CLASS 2 AB, FIBER OPTIC CABLE SYSTEMS.
Location Description: YOLO COUNTY IN AND NEAR WEST SACRAMENTO ON ROUTE 80 FROM 1.7 MILES EAST OF MACE BOULEVARD OVERCROSSING TO SACRAMENTO RIVER BRIDGE AND OVERHEAD (BRYTE BEND) AND ON ROUTE 50 FROM ROUTE 80 JUNCTION TO JEFFERSON BOULEVARD UNDERCROSSING
Contractor Name: Flat-Iron Teichert A Joint Venture
Contractor Address: 1200 Concord Avenue Suite 465, Concord, CA 94520
Resident Engineer: Mirak Mehari Structure Rep.: Brent Bullard
DIME Sample ID: 2026-06-04-73
TL Number from the TL Form:
Sample Submitted By Organization: Mozamo Engineering, Incorporated
Sample Organization Contact: (916) 237-7161
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 06/04/2026
Date that the sample was received by the laboratory/organization performing the testing: 06/04/2026
The quantity of what the sample constitutes: 750 Tons
A brief description of the sample: 1/2 OGFC
From where was the sample collected: Distributor
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Tiechert Perkins
DIME Test ID: 2026-06-04-73-1
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: 06/09/2026
Date Tested: 06/08/2026
Submitted By Organization: CT D03 - Olivehurst Northern Regional Laboratory
Organization Address: 5330 Arboga Road,
Organization City: Olivehurst
Organization State: CA
Organization Zipcode: 95961
Organization Email: jeff.herbert@dot.ca.gov
Organization Phone: (530) 741-4238
General Comments for this Test: L1
OBC 5.3%
Test Result Compliance: complies
Additional Comments When Verified:
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What temperature unit is used?
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Celsius
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Test procedure used?
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Method A
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Mass of HMA Sample prior to ignition
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1651.2 g
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Corrected Asphalt Binder Content
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4.93 %
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Mass Loss
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88.1 g
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Correction Factor (Percent by mass of HMA Specimen)
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0.41 %
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Moisture Content
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no data0 %
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Temperature Compensation Factor
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0.02 %
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Test Temperature
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538 C
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