Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1002496 DEA: 031N4204 EFIS: 0325000024
QA Service Level: 1
DIST-CO-RTE-PM: 03-SIE-89-6.2/6.4
Work Description: D03 SIERRA RTE 89 (PM 6.2/6.4) NEAR SIERRAVILLE - COLD PLANE ASPHALT, DITCH EXCAVATION, PAINT TRAFFIC STRIPE. CONTRACT 03-1N4204, RE CHRISTOPHER REBOLLO.
Location Description:
Contractor Name: ALL-AMERICAN CONSTRUCTION, INC.
Contractor Address: 1700 Acacia Avenue, Sutter, CA 95982
Resident Engineer: Unknown Structure Rep.: Unknown
DIME Sample ID: 2026-09-09-3
TL Number from the TL Form:
Sample Submitted By Organization: Blackburn Consulting
Sample Organization Contact: (916) 375-8706
Type of Sample: Production Start-Up
Type of Material: Hot Mix Asphalt
Sample Taken Date: 09/09/2026
Date that the sample was received by the laboratory/organization performing the testing: 09/09/2026
The quantity of what the sample constitutes: 8 Boxes HMA PSU
A brief description of the sample: 3/4 HMA SP R15 PG 64-28
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Teichert Martis Valley
DIME Test ID: 2026-09-09-3-1
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: 09/15/2026
Date Tested: 09/14/2026
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:
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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2627.8 grams
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Mass of container filled with the sample and water for Sample 1
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8964.9 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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2.466
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Theoretical maximum density at 25°C (77°F)
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2458.8 kg/m^3
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DIME Test ID: 2026-09-09-3-2
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: 09/15/2026
Date Tested: 09/14/2026
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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2151.4 g
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Corrected Asphalt Binder Content
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5.34 %
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Mass Loss
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123.9 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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