Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993678 DEA: 042Q8004 EFIS: 0419000050 COOP: 042836,042944
QA Service Level: 1
DIST-CO-RTE-PM: 04-SM-101,92-US 101 & SR 92-10.9/12.1 & 11.8/13.4
Work Description: US 101/SR 92 INTERCHANGE AREA IMPROVEMENT :PROJECT WILL CONSTRUCT CONGESTION RELIEF IMPROVEMENTS AT THE US 101/SR 92 INTERCHANGE AREA.
Location Description:
Contractor Name: GORDON N. BALL, INC.
Contractor Address: 333 CAMILLE AVENUE, ALAMO, CA 94507
Resident Engineer: Mohamed Fouad Structure Rep.: Bryan Nagid
DIME Sample ID: 2025-08-11-100
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - San Jose Construction Field Laboratory
Sample Organization Contact: (510) 385-8171
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 08/11/2025
Date that the sample was received by the laboratory/organization performing the testing: 08/11/2025
The quantity of what the sample constitutes: 0-750 Tons
A brief description of the sample: 3/4" HMA-A + 15% RAP WMA
From where was the sample collected: Supplier
Laboratory sample identification: SJ-081125-T308-A
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Peninsula Road Materials-GRWC
DIME Test ID: 2025-08-11-100-1
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: 07/08/2026
Date Tested: 08/18/2025
Submitted By Organization: CT D04 - San Jose Construction Field Laboratory
Organization Address: 1007 Knox Avenue,
Organization City: San Jose
Organization State: CA
Organization Zipcode: 95122
Organization Email: fernando.vega@dot.ca.gov
Organization Phone: (510) 385-8171
General Comments for this Test: Lot 1 - Sublot 1
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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Corrected Asphalt Binder Content
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4.76 %
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Mass of HMA Sample prior to ignition
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2155 g
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Mass Loss
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122.5 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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0.16 %
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Test Temperature
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482 C
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