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Sample Record for 2025-10-04-25

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

Project Information

Project ID: 1000940 DEA: 040X6904 EFIS: 0424000157 QA Service Level: 1
DIST-CO-RTE-PM: 04-CC-160-L0.0/0.7
Work Description: INDIVIDUAL SLAB REPLACEMENT, & PLACE JOINTED PLAIN CONCRETE PAVEMENT.
Location Description: CONTRA COSTA COUNTY IN AND NEAR ANTIOCH FROM 0.2 MILE WEST OF ROUTE 4/160 CONNECTOR TO 0.1 MILE SOUTH OF ANTIOCH BRIDGE
Contractor Name: FBD VANGUARD CONSTRUCTION, INC.
Contractor Address: Unknown
Resident Engineer: Steven Lee Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2025-10-04-25
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - Concord Field Laboratory
Sample Organization Contact: (510) 714-7019
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 10/04/2025
Date that the sample was received by the laboratory/organization performing the testing: 10/06/2025
The quantity of what the sample constitutes: 4 BOXES of HMA, 2 CORES
A brief description of the sample: 1/2 HMA _SP_WMA
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Teichert Vernalis

Material Information

HMA Type: Type A HMA
HMA Grading: 1/2 inch
Lot number: 1
Sublot number: 1
HMA Mix Number:
Binder content (%): 0.0
Virgin binder PG:
Design binder PG:
Binder Supplier:
RAP content (%):
WMA Additives:
Antistrip type:
Test results on following page(s): 3

Test Results

Test

DIME Test ID: 2025-10-04-25-1
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: 07/24/2026
Date Tested: 10/08/2025
Submitted By Organization: CT D04 - Concord Field Laboratory
Organization Address: 2525 Stanwell Drive, Suite 100,
Organization City: Concord
Organization State: CA
Organization Zipcode: 94520
Organization Email: gurind.joshi@dot.ca.gov
Organization Phone: (510) 714-7019
General Comments for this Test:
Test Result Compliance: not applicable
Additional Comments When Verified:
Number of Samples 2
What is the unit of measurement for theoretical density? SI Units
Mass Determination Air
Specific Gravity for Sample 1 2.467
Specific Gravity for Sample 2 2.468
Average Specific Gravity 2.468
Theoretical maximum density at 25°C (77°F) 2461 kg/m^3

Test

DIME Test ID: 2025-10-04-25-2
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: 07/24/2026
Date Tested: 10/10/2025
Submitted By Organization: CT D04 - Concord Field Laboratory
Organization Address: 2525 Stanwell Drive, Suite 100,
Organization City: Concord
Organization State: CA
Organization Zipcode: 94520
Organization Email: gurind.joshi@dot.ca.gov
Organization Phone: (510) 714-7019
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
What temperature unit is used? Celsius
Test procedure used? Method A
Corrected Asphalt Binder Content 5.72 %
Mass of HMA Sample prior to ignition 1645 g
Mass Loss 111.2 g
Correction Factor (Percent by mass of HMA Specimen) 0.86 %
Moisture Content no data0 %
Temperature Compensation Factor 0.18 %
Test Temperature 482 C

Test

DIME Test ID: 2025-10-04-25-3
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: 07/24/2026
Date Tested: 10/14/2025
Submitted By Organization: CT D04 - Concord Field Laboratory
Organization Address: 2525 Stanwell Drive, Suite 100,
Organization City: Concord
Organization State: CA
Organization Zipcode: 94520
Organization Email: gurind.joshi@dot.ca.gov
Organization Phone: (510) 714-7019
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.371
Bulk Specific Gravity 2 2.39
Average Bulk Specific Gravity 2.381