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Sample Record for 2020-11-24-10

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 66667 DEA: JMFPP EFIS: 0019000043 QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for submitting Sample information for JMF Prequalification Program.
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-11-24-10
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Verification
Type of Material: Hot Mix Asphalt
Sample Taken Date: 11/24/2020
Date that the sample was received by the laboratory/organization performing the testing: 11/25/2020
The quantity of what the sample constitutes: 16 boxes
A brief description of the sample: 3/4 Type A HMA, PG64-16. w/ RAP
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Syar Industries

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number:
Sublot number:
HMA Mix Number:

Test Results

Test 1 of 5

DIME Test ID: 2020-11-24-10-1
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: 12/10/2020
Date Tested: 12/10/2020
Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Boulevard, Room 225,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (916) 227-7302
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
What temperature unit is used? Fahrenheit
Test procedure used? Method A
Mass of the specimen basket assembly no data
Mass of the specimen and specimen basket assembly prior to ignition no data
Mass of HMA Sample prior to ignition 2291.2 g
Corrected Asphalt Binder Content 5.53 %
Mass Loss no data
Mass of aggregate remaining after ignition 2123.9 g
Correction Factor (Percent by mass of HMA Specimen) 1.62 %
Moisture Content 0.15 %
Temperature Compensation Factor no data
Test Temperature 482 F

Test 2 of 5

DIME Test ID: 2020-11-24-10-2
Test Method: AASHTO T329-13: Standard Method of Test for Moisture Content of Asphalt Mixtures by Oven Method (Moisture Content)
Verified Date: 12/10/2020
Date Tested: 12/10/2020
Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Boulevard, Room 225,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (916) 227-7302
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Moisture Content no data0 %
Percent Change no data0 %

Test 3 of 5

DIME Test ID: 2020-11-24-10-3
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: 12/10/2020
Date Tested: 12/10/2020
Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Boulevard, Room 225,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (916) 227-7302
General Comments for this Test:
Test Result Compliance: not applicable
Additional Comments When Verified:
Bulk Specific Gravity 2.388
Bulk Specific Gravity 2 2.384
Bulk Specific Gravity 3 2.389
Average Bulk Specific Gravity 2.387

Test 4 of 5

DIME Test ID: 2020-11-24-10-4
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: 12/07/2020
Date Tested: 12/07/2020
Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Boulevard, Room 225,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (916) 227-7302
General Comments for this Test:
Test Result Compliance: not applicable
Additional Comments When Verified:
Number of tests 2
What is the unit of measurement for theoretical density? US Units
Mass Determination Water
Specific Gravity for Sample 1 2.461
Specific Gravity for Sample 2 2.469
Average Specific Gravity 2.465
Theoretical maximum density at 25°C (77°F) no data

Test 5 of 5

DIME Test ID: 2020-11-24-10-5
Test Method: AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)
Verified Date: 12/10/2020
Date Tested: 12/10/2020
Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Boulevard, Room 225,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (916) 227-7302
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Percent Air Voids 3.1 %
Percent Air Voids 2 3.3
Percent Air Voids 3 3.1
Average Percent Air Voids 3.2

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
2020-11-24-10-6AASHTO T283-14: Standard Method of Test for Resistance of Compacted Asphalt Mixtures to Moisture-Induced Damage (Moisture Content)11/30/2020Not scheduledClinton EdmistonCT HQ - Sacramento Hot Mix Asphalt LaboratoryFrank Chavez Jr
2020-11-24-10-7AASHTO T324-14: Standard Method of Test for Hamburg Wheel-Track Testing of Compacted Asphalt Mixtures (Hamburg Wheel Track)11/30/2020Not scheduledClinton EdmistonCT HQ - Sacramento Hot Mix Asphalt LaboratoryFrank Chavez Jr