Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1001564 DEA: 030J4104 EFIS: 0319000281
QA Service Level: 1
DIST-CO-RTE-PM: 03-PLA-80-33.0/44.9
Work Description: COLD PLANE AC PVMT, HMA, CLASS 2 AB, RDWY EXC, MGS, & RCP.
Location Description: PLACER COUNTY IN AND NEAR COLFAX FROM 0.1 MILE WEST OF ROUTE 174/80 SEPARATION TO 0.1 MILE EAST OF ALTA ROAD UNDERCROSSING
Contractor Name: A. TEICHERT & SON, INC. DBA TEICHERT CONSTRUCTION
Contractor Address: 4401 Duluth Ave, Rocklin, CA 95765
Resident Engineer: Brigette Haddock Structure Rep.: Unknown
DIME Sample ID: 2026-06-21-5
TL Number from the TL Form:
Sample Submitted By Organization: Blackburn Consulting
Sample Organization Contact: (916) 375-8706
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 06/21/2026
Date that the sample was received by the laboratory/organization performing the testing: 06/22/2026
The quantity of what the sample constitutes: 12 boxes hma, 5 bags agg, 2 cans oil
A brief description of the sample: 3/4 HMA-A SP R25 PG 58-22
From where was the sample collected: Supplier
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Teichert Hallwood
DIME Test ID: 2026-06-21-5-1
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: 06/29/2026
Date Tested: 06/23/2026
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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7402.5 grams
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Mass of oven-dry sample in air for Sample 1
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2612.1 grams
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Mass of container filled with the sample and water for Sample 1
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9004.6 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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2.586
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Theoretical maximum density at 25°C (77°F)
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2578.5 kg/m^3
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DIME Test ID: 2026-06-21-5-2
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: 06/29/2026
Date Tested: 06/23/2026
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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2143.9 g
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Corrected Asphalt Binder Content
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4.58 %
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Mass Loss
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117.2 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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DIME Test ID: 2026-06-21-5-3
Test Method: CTM 389-19: Method of Test for Hamburg Wheel-Track Testing of Compacted Hot Mix Asphalt
Verified Date: 06/29/2026
Date Tested: 06/26/2026
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: complies
Additional Comments When Verified:
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Specimen Preparation Method
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PMLC
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Test Temperature
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122 F
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Air Void Content for specimen A-1
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7.4 %
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Air Void Content for specimen A-2
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7.4 %
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Air Void Content for specimen B-1
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7.5 %
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Air Void Content for specimen B-2
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7.5 %
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Stripping Inflection Point (Wheel A)
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25000
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Stripping Inflection Point (Wheel B)
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25000
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Maximum impression at 5000 passes (left wheel)
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2.39 mm
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Maximum impression at 5000 passes (right wheel)
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1.57 mm
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Average impression at 5000 passes (left/right avg)
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1.98 mm
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Maximum impression at 10000 passes (left wheel)
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2.85 mm
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Maximum impression at 10000 passes (right wheel)
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1.9 mm
|
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Average impression at 10000 passes (left/right avg)
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2.38 mm
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Maximum impression at 15000 passes (left wheel)
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3.2 mm
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Maximum impression at 15000 passes (right wheel)
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2.1 mm
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Average impression at 15000 passes (left/right avg)
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2.65 mm
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Maximum impression at 20000 passes (left wheel)
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3.49 mm
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Maximum impression at 20000 passes (right wheel)
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2.28 mm
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Average impression at 20000 passes (left/right avg)
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2.89 mm
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Average impression at 25000 passes (left/right avg)
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3.02 mm
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