Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000637 DEA: 031H1404 EFIS: 0316000060
QA Service Level: 1
DIST-CO-RTE-PM: 03-BUT-99-R3.1/5.0
Work Description: RHMA, HMA, LIGHTING SYSTEMS, CURB RAMPS, SIDEWALKS, AND DRIVEWAYS.
Location Description: BUTTE COUNTY IN AND NEAR GRIDLEY FROM HOLLIS LANE TO 0.2 MILE NORTH OF FORD AVENUE
Contractor Name: MARTIN BROTHERS CONSTRUCTION
Contractor Address: 8801 Folsom Blvd. Ste. 260, Sacramento, CA 95826
Resident Engineer: Dustin Watts Structure Rep.: Unknown
DIME Sample ID: 2026-06-09-21
TL Number from the TL Form: C955806
Sample Submitted By Organization: CT D03 - Olivehurst Northern Regional Laboratory
Sample Organization Contact: (530) 741-4238
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 06/09/2026
Date that the sample was received by the laboratory/organization performing the testing: 06/12/2026
The quantity of what the sample constitutes: 2 Boxes
A brief description of the sample: 3/4" HMA w/ 25% RAP
From where was the sample collected: Source
Laboratory sample identification: Daily Sample 26-058
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Teichert Hallwood
HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number: 1
Sublot number: 7
HMA Mix Number: 30940132416P
Binder content (%): 4.5
Virgin binder PG: PG 58-22
Design binder PG: PG 64-16
Binder Supplier: PNW
RAP content (%): 25
WMA Additives: No
Antistrip type:
DIME Test ID: 2026-06-09-21-1
Test Method: AASHTO T209-12: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)
Verified Date: 06/15/2026
Date Tested: 06/12/2026
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:
Test Result Compliance: not applicable
Additional Comments When Verified:
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Number of tests
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1
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What is the unit of measurement for theoretical density?
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SI Units
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Mass Determination
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Air
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Method Performed
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Mechanical Agitation - Method A
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Mass of container filled with water
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7342.5 grams
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Mass of oven-dry sample in air for Sample 1
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2645.5 grams
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Mass of container filled with the sample and water for Sample 1
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8963.6 grams
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Temperature of Water
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77 °F
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Specific Gravity for Sample 1
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2.582
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Theoretical maximum density at 25°C (77°F)
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2574.5 kg/m^3
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DIME Test ID: 2026-06-09-21-2
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: 06/15/2026
Date Tested: 06/12/2026
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: R1
OBC 4.5%
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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2033.8 g
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Corrected Asphalt Binder Content
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4.44 %
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Mass Loss
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108.5 g
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Correction Factor (Percent by mass of HMA Specimen)
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0.89 %
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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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