Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1002077 DEA: 033H5904 EFIS: 0318000017
QA Service Level: 1
DIST-CO-RTE-PM: 03-PLA-80-R26.3/R55.2
Work Description:
Location Description:
Contractor Name: Flatiron Dragados/Teichert
Contractor Address: 555 S Auburn St, Colfax, CA 95713
Resident Engineer: John Ruzic Structure Rep.: Carl Anderson
DIME Sample ID: 2026-08-20-28
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: 08/20/2026
Date that the sample was received by the laboratory/organization performing the testing: 08/21/2026
The quantity of what the sample constitutes: 2 Boxes
A brief description of the sample: 3/4" HMA-SP w/RAP PG 64-16
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Teichert Hallwood
HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number: 1
Sublot number: 1
HMA Mix Number: 30940432407S
Binder content (%): 4.7
Virgin binder PG: PG 64-16
Design binder PG: PG 64-16
Binder Supplier: SJR
RAP content (%): 15
WMA Additives:
Antistrip type:
DIME Test ID: 2026-08-20-28-1
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: 08/26/2026
Date Tested: 08/25/2026
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?
|
SI Units
|
|
Mass Determination
|
Air
|
|
Method Performed
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Mechanical Agitation - Method A
|
|
Mass of container filled with water
|
7342.3 grams
|
|
Mass of oven-dry sample in air for Sample 1
|
2641.7 grams
|
|
Mass of container filled with the sample and water for Sample 1
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8961.8 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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2.584
|
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Theoretical maximum density at 25°C (77°F)
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2576.5 kg/m^3
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DIME Test ID: 2026-08-20-28-2
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: 08/26/2026
Date Tested: 08/25/2026
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 4.7
Test Result Compliance: complies
Additional Comments When Verified:
|
What temperature unit is used?
|
Celsius
|
|
Test procedure used?
|
Method A
|
|
Mass of HMA Sample prior to ignition
|
2146.9 g
|
|
Corrected Asphalt Binder Content
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4.86 %
|
|
Mass Loss
|
116 g
|
|
Correction Factor (Percent by mass of HMA Specimen)
|
0.54 %
|
|
Moisture Content
|
no data0 %
|
|
Temperature Compensation Factor
|
0.02 %
|
|
Test Temperature
|
538 C
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