Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1001369 DEA: 010K1504 EFIS: 0120000035
QA Service Level: 1
DIST-CO-RTE-PM: 01-HUM-101-125.2/R126.1
Work Description: EARTHWORK, HMA-A, DRAINAGE, AND HIGH FRICTION SURFACE TREATMENT.
Location Description: HUMBOLDT COUNTY NEAR ORICK FROM 0.9 MILE SOUTH TO SOUTH PRAIRIE CREEK PARK UNDERCROSSING
Contractor Name: G R SUNDBERG INC
Contractor Address: 5211 Boyd Road, Arcata, CA 95521
Resident Engineer: Ryan Dunne Structure Rep.: Unknown
DIME Sample ID: 2026-08-13-78
TL Number from the TL Form:
Sample Submitted By Organization: CT D01 - Crescent City Field Laboratory
Sample Organization Contact: (707) 496-5581
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 08/13/2026
Date that the sample was received by the laboratory/organization performing the testing: 08/10/2026
The quantity of what the sample constitutes: 4 boxes
A brief description of the sample: hma
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Kernen
DIME Test ID: 2026-08-13-78-1
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: 09/04/2026
Date Tested: 08/20/2026
Submitted By Organization: CT D01 - Crescent City Field Laboratory
Organization Address: 1444 Parkway Dr.,
Organization City: Crescent City
Organization State: CA
Organization Zipcode: 95531
Organization Email: clayton.malmberg@dot.ca.gov
Organization Phone: (707) 496-5581
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
|
Number of Samples
|
1
|
|
What is the unit of measurement for theoretical density?
|
US Units
|
|
Mass Determination
|
Air
|
|
Method Performed
|
Mechanical Agitation - Method A
|
|
Mass of container filled with water 1
|
7345.5 grams
|
|
Mass of oven-dry sample in air for Sample 1
|
1836.7 grams
|
|
Mass of container filled with the sample and water for Sample 1
|
8452.6 grams
|
|
Temperature of Water
|
77 °F
|
|
Specific Gravity for Sample 1
|
2.517
|
|
Theoretical maximum density at 25°C (77°F)
|
156.7 lb/ft^3
|
DIME Test ID: 2026-08-13-78-2
Test Method: AASHTO T30-25: Standard Method of Test for Mechanical Analysis of Extracted Aggregate (Mechanical Analysis)
Verified Date: 09/04/2026
Date Tested: 09/04/2026
Submitted By Organization: CT D01 - Crescent City Field Laboratory
Organization Address: 1444 Parkway Dr.,
Organization City: Crescent City
Organization State: CA
Organization Zipcode: 95531
Organization Email: clayton.malmberg@dot.ca.gov
Organization Phone: (707) 496-5581
General Comments for this Test: 1/2" F, 3/8" F, #4 F
Test Result Compliance: does not comply
Additional Comments When Verified:
|
Is an aggregate correction factor used?
|
Yes
|
|
Aggregate correction factor for the 2 in. sieve (% passing)
|
no data0 %
|
|
Aggregate correction factor for the 1 1/2 in. sieve (% passing)
|
no data0 %
|
|
Aggregate correction factor for the 1 in. sieve (% passing)
|
no data0 %
|
|
Aggregate correction factor for the 3/4 in. sieve (% passing)
|
no data0 %
|
|
Aggregate correction factor for the 1/2 in. sieve (% passing)
|
0.1 %
|
|
Aggregate correction factor for the 3/8 in. sieve (% passing)
|
-0.1 %
|
|
Aggregate correction factor for the #4 sieve (% passing)
|
0.5 %
|
|
Aggregate correction factor for the #8 sieve (% passing)
|
0.9 %
|
|
Aggregate correction factor for the #16 sieve (% passing)
|
1.4 %
|
|
Aggregate correction factor for the #30 sieve (% passing)
|
1.6 %
|
|
Aggregate correction factor for the #50 sieve (% passing)
|
1.1 %
|
|
Aggregate correction factor for the #100 sieve (% passing)
|
0.7 %
|
|
Aggregate correction factor for the #200 sieve (% passing)
|
0.2 %
|
|
Cumulative percent passing the 2 in. sieve
|
100 %
|
|
Cumulative percent passing the 1 1/2 in. sieve
|
100 %
|
|
Cumulative percent passing the 1 in. sieve
|
100 %
|
|
Cumulative percent passing the 3/4 in. sieve
|
100 %
|
|
Cumulative percent passing the 1/2 in. sieve
|
88 %
|
|
Cumulative percent passing the 3/8 in. sieve
|
73 %
|
|
Cumulative percent passing the #4 sieve
|
47 %
|
|
Cumulative percent passing the #8 sieve
|
31 %
|
|
Cumulative percent passing the #16 sieve
|
23 %
|
|
Cumulative percent passing the #30 sieve
|
18 %
|
|
Cumulative percent passing the #50 sieve
|
13 %
|
|
Cumulative percent passing the #100 sieve
|
9 %
|
|
Cumulative percent passing the #200 sieve
|
5.9 %
|
DIME Test ID: 2026-08-13-78-3
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: 09/04/2026
Date Tested: 08/20/2026
Submitted By Organization: CT D01 - Crescent City Field Laboratory
Organization Address: 1444 Parkway Dr.,
Organization City: Crescent City
Organization State: CA
Organization Zipcode: 95531
Organization Email: clayton.malmberg@dot.ca.gov
Organization Phone: (707) 496-5581
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
|
What temperature unit is used?
|
Celsius
|
|
Test procedure used?
|
Method A
|
|
Mass of the specimen basket assembly
|
3922.8 g
|
|
Mass of the specimen and specimen basket assembly prior to ignition
|
5629 g
|
|
Corrected Asphalt Binder Content
|
4.86 %
|
|
Mass of HMA Sample prior to ignition
|
1706.2 g
|
|
Mass Loss
|
101 g
|
|
Mass of aggregate remaining after ignition
|
1605.2 g
|
|
Correction Factor (Percent by mass of HMA Specimen)
|
1.06 %
|
|
Moisture Content
|
no data0 %
|
|
Temperature Compensation Factor
|
no data0 %
|
|
Test Temperature
|
482 C
|