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: 2026-09-14-48
TL Number from the TL Form:
Sample Submitted By Organization: CT D01 - Boyd Road Field Laboratory
Sample Organization Contact: (707) 496-0974
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 09/14/2026
Date that the sample was received by the laboratory/organization performing the testing: 09/17/2026
The quantity of what the sample constitutes: 4 boxs
A brief description of the sample: 1/2 in HMA
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Tidewater Smith River
DIME Test ID: 2026-09-14-48-1
Test Method: AASHTO T275-07r12: Standard Method of Test for Bulk Specific Gravity (Gmb) of Compacted Asphalt Mixtures Using Paraffin-Coated Specimens (Bulk Specific Gravity)
Verified Date: 09/17/2026
Date Tested: 09/16/2026
Submitted By Organization: CT D01 - Boyd Road Field Laboratory
Organization Address: 1050 River Ranch Road,
Organization City: Fortuna
Organization State: California
Organization Zipcode: 95540
Organization Email: leif.ayres@dot.ca.gov
Organization Phone: (707) 496-0974
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
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Bulk Specific Gravity
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2.358
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Bulk Specific Gravity 2
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2.326
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Average Bulk Specific Gravity
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2.342
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DIME Test ID: 2026-09-14-48-2
Test Method: AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent)
Verified Date: 09/17/2026
Date Tested: 09/16/2026
Submitted By Organization: CT D01 - Boyd Road Field Laboratory
Organization Address: 1050 River Ranch Road,
Organization City: Fortuna
Organization State: California
Organization Zipcode: 95540
Organization Email: leif.ayres@dot.ca.gov
Organization Phone: (707) 496-0974
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
DIME Test ID: 2026-09-14-48-3
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: 10/06/2026
Date Tested: 10/05/2026
Submitted By Organization: CT D01 - Boyd Road Field Laboratory
Organization Address: 1050 River Ranch Road,
Organization City: Fortuna
Organization State: California
Organization Zipcode: 95540
Organization Email: leif.ayres@dot.ca.gov
Organization Phone: (707) 496-0974
General Comments for this Test: Binder range is 4.60-5.40
PASS
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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3922.5 g
|
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Mass of the specimen and specimen basket assembly prior to ignition
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5550 g
|
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Corrected Asphalt Binder Content
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5.26 %
|
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Mass of HMA Sample prior to ignition
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1627.5 g
|
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Mass Loss
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100 g
|
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Mass of aggregate remaining after ignition
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1527.5 g
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Correction Factor (Percent by mass of HMA Specimen)
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0.88 %
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Moisture Content
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no data0 %
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Temperature Compensation Factor
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no data0 %
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|
Test Temperature
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538 C
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