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Sample Record for 2026-06-23-6

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

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

Sample Information

DIME Sample ID: 2026-06-23-6
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: 06/23/2026
Date that the sample was received by the laboratory/organization performing the testing: 06/22/2026
The quantity of what the sample constitutes: 2 Boxes HMA-A
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

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number: 1
Sublot number: 5
HMA Mix Number: 30940132416P
Binder content (%): 4.5
Virgin binder PG:
Design binder PG: PG 58-22
Binder Supplier: PNW
RAP content (%): 25
WMA Additives: No
Antistrip type:

Test Results

Test

DIME Test ID: 2026-06-23-6-1
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: 06/25/2026
Date Tested: 06/25/2026
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:
Number of tests 1
What is the unit of measurement for theoretical density? SI Units
Mass Determination Air
Method Performed Mechanical Agitation - Method A
Mass of container filled with water 7402.5 grams
Mass of oven-dry sample in air for Sample 1 2697 grams
Mass of container filled with the sample and water for Sample 1 9051.6 grams
Temperature of Water 77 °F
Specific Gravity for Sample 1 2.574
Theoretical maximum density at 25°C (77°F) 2566.5 kg/m^3

Test

DIME Test ID: 2026-06-23-6-2
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: 06/25/2026
Date Tested: 06/25/2026
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 4.5%
Test Result Compliance: complies
Additional Comments When Verified:
What temperature unit is used? Celsius
Test procedure used? Method A
Mass of HMA Sample prior to ignition 2118.5 g
Corrected Asphalt Binder Content 4.41 %
Mass Loss 109.6 g
Correction Factor (Percent by mass of HMA Specimen) 0.76 %
Moisture Content no data0 %
Temperature Compensation Factor 0.02 %
Test Temperature 538 C