Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1002310 DEA: 010P6404 EFIS: 0125000053
QA Service Level: 1
DIST-CO-RTE-PM: 01-HUM-101-R131.7/134.6
Work Description: Boyes Creek Viaduct
Location Description:
Contractor Name: GR Sundberg Inc
Contractor Address: 5211 Boyd Road, Arcata CA, 95521
Resident Engineer: Ryan Dunne Structure Rep.: Unknown
DIME Sample ID: 2026-06-17-10
TL Number from the TL Form:
Sample Submitted By Organization: CT D01 - Crescent City Field Laboratory
Sample Organization Contact: (707) 496-5581
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 06/17/2026
Date that the sample was received by the laboratory/organization performing the testing: 06/17/2026
The quantity of what the sample constitutes: 4 boxes
A brief description of the sample: 1/2 RHMA PG 64-16
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Mercer Fraser Boyd Road
DIME Test ID: 2026-06-17-10-1
Test Method: AASHTO T209-22: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)
Verified Date: 06/17/2026
Date Tested: 06/17/2026
Submitted By Organization: CT D01 - Crescent City Field Laboratory
Organization Address: 1444 Parkway Dr.,
Organization City: Crescent City
Organization State: CA
Organization Zipcode: 95531
Organization Email: clayton.malmberg@dot.ca.gov
Organization Phone: (707) 496-5581
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
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Number of Samples
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1
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What is the unit of measurement for theoretical density?
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US 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 1
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7345.5 grams
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Mass of oven-dry sample in air for Sample 1
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1985 grams
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Mass of container filled with the sample and water for Sample 1
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8504.7 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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2.404
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Theoretical maximum density at 25°C (77°F)
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149.6 lb/ft^3
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DIME Test ID: 2026-06-17-10-2
Test Method: AASHTO T30-25: Standard Method of Test for Mechanical Analysis of Extracted Aggregate (Mechanical Analysis)
Verified Date: 06/22/2026
Date Tested: 06/22/2026
Submitted By Organization: CT D01 - Crescent City Field Laboratory
Organization Address: 1444 Parkway Dr.,
Organization City: Crescent City
Organization State: CA
Organization Zipcode: 95531
Organization Email: clayton.malmberg@dot.ca.gov
Organization Phone: (707) 496-5581
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
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Is an aggregate correction factor used?
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Yes
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Aggregate correction factor for the 2 in. sieve (% passing)
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no data0 %
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Aggregate correction factor for the 1 1/2 in. sieve (% passing)
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no data0 %
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Aggregate correction factor for the 1 in. sieve (% passing)
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no data0 %
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Aggregate correction factor for the 3/4 in. sieve (% passing)
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no data0 %
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Aggregate correction factor for the 1/2 in. sieve (% passing)
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0.1 %
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Aggregate correction factor for the 3/8 in. sieve (% passing)
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0.1 %
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Aggregate correction factor for the #4 sieve (% passing)
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0.9 %
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Aggregate correction factor for the #8 sieve (% passing)
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1.5 %
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Aggregate correction factor for the #16 sieve (% passing)
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1.1 %
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Aggregate correction factor for the #30 sieve (% passing)
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0.8 %
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Aggregate correction factor for the #50 sieve (% passing)
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0.7 %
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Aggregate correction factor for the #100 sieve (% passing)
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0.6 %
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Aggregate correction factor for the #200 sieve (% passing)
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0.6 %
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DIME Test ID: 2026-06-17-10-3
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: 06/17/2026
Date Tested: 06/17/2026
Submitted By Organization: CT D01 - Crescent City Field Laboratory
Organization Address: 1444 Parkway Dr.,
Organization City: Crescent City
Organization State: CA
Organization Zipcode: 95531
Organization Email: clayton.malmberg@dot.ca.gov
Organization Phone: (707) 496-5581
General Comments for this Test:
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 the specimen basket assembly
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3923 g
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Mass of the specimen and specimen basket assembly prior to ignition
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5679.7 g
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Corrected Asphalt Binder Content
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7.46 %
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Mass of HMA Sample prior to ignition
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1756.7 g
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Mass Loss
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147.8 g
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Mass of aggregate remaining after ignition
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1608.9 g
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Correction Factor (Percent by mass of HMA Specimen)
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0.95 %
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Moisture Content
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no data0 %
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Temperature Compensation Factor
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no data0 %
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|
Test Temperature
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538 C
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