Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 215343 DEA: 031J1704 EFIS: 0320000114
QA Service Level: 1
DIST-CO-RTE-PM: 03-PLA,NEV-89-13.0/21.6,0.0/0.6
Work Description: DRAINAGE IMPROVEMENTS.
Location Description: PLACER AND NEVADA COUNTIES IN AND NEAR TRUCKEE ON ROUTE 89 FROM 0.8 MILE NORTH OF ALPINE MEADOWS ROAD TO NEVADA COUNTY AND FROM PLACER COUNTY LINE TO ROUTE 80
Contractor Name: A. TEICHERT & SON, INC. DBA TEICHERT CONSTRUCTION
Contractor Address: 4401 Duluth Avenue, Rocklin, CA 95765
Resident Engineer: Christopher (Kimo) Rebollo Structure Rep.: Unknown
DIME Sample ID: 2026-08-11-50
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: 08/11/2026
Date that the sample was received by the laboratory/organization performing the testing: 08/13/2026
The quantity of what the sample constitutes: 2 boxes
A brief description of the sample: 3/4 HMA-SP
From where was the sample collected: Supplier
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Teichert Martis Valley
HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number: 2
Sublot number: 17
HMA Mix Number: 30540732407M
Binder content (%): 5.2
Virgin binder PG: PG 64-28
Design binder PG: PG 64-28
Binder Supplier: Marathon (PNAC)
RAP content (%): 12
WMA Additives: No
Antistrip type:
DIME Test ID: 2026-08-11-50-1
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: 08/18/2026
Date Tested: 08/17/2026
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:
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Number of tests
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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
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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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2630.6 grams
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Mass of container filled with the sample and water for Sample 1
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8974.5 grams
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Temperature of Water
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77 °F
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Specific Gravity for Sample 1
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2.485
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Theoretical maximum density at 25°C (77°F)
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2477.8 kg/m^3
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DIME Test ID: 2026-08-11-50-2
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: 08/18/2026
Date Tested: 08/14/2026
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 5.2%
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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Mass of HMA Sample prior to ignition
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2167.7 g
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Corrected Asphalt Binder Content
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5.33 %
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Mass Loss
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124.7 g
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Correction Factor (Percent by mass of HMA Specimen)
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0.42 %
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Moisture Content
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no data0 %
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Temperature Compensation Factor
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0.02 %
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Test Temperature
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538 C
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