Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 995520 DEA: 041Y7004 EFIS: 0423000016
QA Service Level: 1
DIST-CO-RTE-PM: 04-CC,SOL-80-13.8/14.1,0.0/0.4
Work Description: AL ZAMPA BRIDGE DECK REHABILITATION REPLACE TOP COURSE
Location Description: CONTRA COSTA AND SOLANO COUNTIES AT CROCKETT AND IN VALLEJO FROM UNION PACIFIC RAILROAD OVERHEAD TO 0.8 MILE SOUTH OF ROUTE 80/29 SEPARATION
Contractor Name: O.C. JONES & SONS, INC.
Contractor Address: 1520 fourth Street, Berkley, CA, 94710
Resident Engineer: Ferdinand Ciceron Structure Rep.: John Parecadan
DIME Sample ID: 2026-08-22-29
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - Richmond Field Laboratory
Sample Organization Contact: (510) 385-7413
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 08/22/2026
Date that the sample was received by the laboratory/organization performing the testing: 08/22/2026
The quantity of what the sample constitutes: 250 tons
A brief description of the sample: #3/8 HMA-A 16% RAP
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Martin Marrieta
DIME Test ID: 2026-08-22-29-1
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: 09/04/2026
Date Tested: 08/25/2026
Submitted By Organization: CT D04 - Richmond Field Laboratory
Organization Address: 3401 Regatta Blvd.,
Organization City: Richmond
Organization State: CA
Organization Zipcode: 94804
Organization Email: ignacio.arechiga@dot.ca.gov
Organization Phone: (510) 385-7413
General Comments for this Test:
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 the specimen basket assembly
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2851.3 g
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Mass of the specimen and specimen basket assembly prior to ignition
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4083.4 g
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Mass of HMA Sample prior to ignition
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1232.1 g
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Corrected Asphalt Binder Content
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5.29 %
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Mass Loss
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79.1 g
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Mass of aggregate remaining after ignition
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1153 g
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Correction Factor (Percent by mass of HMA Specimen)
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0.89 %
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Moisture Content
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no data0 %
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Temperature Compensation Factor
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0.24 %
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Test Temperature
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482 C
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DIME Test ID: 2026-08-22-29-2
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: 09/04/2026
Date Tested: 08/25/2026
Submitted By Organization: CT D04 - Richmond Field Laboratory
Organization Address: 3401 Regatta Blvd.,
Organization City: Richmond
Organization State: CA
Organization Zipcode: 94804
Organization Email: ignacio.arechiga@dot.ca.gov
Organization Phone: (510) 385-7413
General Comments for this Test:
Test Result Compliance: not applicable
Additional Comments When Verified:
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Number of Samples
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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 1
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7381.9 grams
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Mass of oven-dry sample in air for Sample 1
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1518.2 grams
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Mass of container filled with the sample and water for Sample 1
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8300.9 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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2.534
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Theoretical maximum density at 25°C (77°F)
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2527 kg/m^3
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