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Sample Record for 2025-08-11-101

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Project Information

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

Sample Information

DIME Sample ID: 2025-08-11-101
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-T275-1
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Peninsula Road Materials-GRWC

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number: 1
Sublot number: 1
HMA Mix Number: 372
Binder content (%): 4.7
Virgin binder PG:
Design binder PG:
Binder Supplier:
RAP content (%): 15
WMA Additives:
Antistrip type:
Test results on following page(s): 2

Test Results

Test

DIME Test ID: 2025-08-11-101-1
Test Method: AASHTO T275-07r12: Standard Method of Test for Bulk Specific Gravity (Gmb) of Compacted Asphalt Mixtures Using Paraffin-Coated Specimens (Bulk Specific Gravity)
Verified Date: 07/08/2026
Date Tested: 08/19/2025
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: not applicable
Additional Comments When Verified:
Bulk Specific Gravity 2.514
Bulk Specific Gravity 2 2.42
Average Bulk Specific Gravity 2.467

Test

DIME Test ID: 2025-08-11-101-2
Test Method: AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)
Verified Date: 07/09/2026
Date Tested: 08/19/2025
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:
Percent Air Voids 3.3 %
Percent Air Voids 2 7 %
Average Percent Air Voids 5.2 %
Average Core Density 94.8 %