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: 2026-06-30-11
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: 06/30/2026
Date that the sample was received by the laboratory/organization performing the testing: 06/30/2026
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
DIME Test ID: 2026-06-30-11-1
Test Method: AASHTO T209-25: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)
Verified Date: 07/01/2026
Date Tested: 07/01/2026
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:
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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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 1
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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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2646.4 grams
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Mass of container filled with the sample and water for Sample 1
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9030.2 grams
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Temperature of Water
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25 °F
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Specific Gravity for Sample 1
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2.598
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Theoretical maximum density at 25°C (77°F)
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2590 kg/m^3
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DIME Test ID: 2026-06-30-11-2
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: 07/02/2026
Date Tested: 07/02/2026
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:
Additional Comments When Verified:
|
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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3941.7 g
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Mass of the specimen and specimen basket assembly prior to ignition
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6046.7 g
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Corrected Asphalt Binder Content
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4.48 %
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Mass of HMA Sample prior to ignition
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2105 g
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Mass Loss
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110.4 g
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Mass of aggregate remaining after ignition
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1994.6 g
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Correction Factor (Percent by mass of HMA Specimen)
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0.76 %
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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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