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Sample Record for 2021-11-23-38

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

Project Information

Project ID: 55555 DEA: AMRL EFIS: AMRL QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for submitting Sample information for AASHTO Materials Reference Laboratory (AMRL).
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-11-23-38
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: Proficiency
Type of Material: Hot Mix Asphalt
Sample Taken Date: 11/23/2021
Date that the sample was received by the laboratory/organization performing the testing: 11/23/2021
The quantity of what the sample constitutes: 1 box 4 small bags in side
A brief description of the sample: SAMPLE 43(A) 1/2 HMA Type A
From where was the sample collected: Source
Laboratory sample identification: 021-063
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: AASHTO resource

Material Information

HMA Type: Type A HMA
HMA Grading: 1/2 inch
Lot number:
Sublot number:
HMA Mix Number:
Binder content (%):
Virgin binder PG:
Design binder PG:
Binder Supplier:
RAP content (%):
WMA Additives:
Antistrip type:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2021-11-23-38-1
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: 12/24/2021
Date Tested: 12/22/2021
Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (530) 713-6823
General Comments for this Test: AASHTO Proficiency Sample 43(A)
Test Result Compliance: not applicable
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 1516.5 g
Corrected Asphalt Binder Content 5.33 %
Mass Loss no data
Mass of aggregate remaining after ignition 1428.3 g
Correction Factor (Percent by mass of HMA Specimen) 0.26 %
Moisture Content 0.23 %
Temperature Compensation Factor no data
Test Temperature 1000 F

Test 2 of 2

DIME Test ID: 2021-11-23-38-2
Test Method: AASHTO T30-19: Standard Method of Test for Mechanical Analysis of Extracted Aggregate (Mechanical Analysis)
Verified Date: 12/24/2021
Date Tested: 12/24/2021
Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (530) 713-6823
General Comments for this Test:
Test Result Compliance: not applicable
Additional Comments When Verified:
Is an aggregate correction factor used? No
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 89.9 %
Cumulative percent passing the 3/8 in. sieve 80.3 %
Cumulative percent passing the #4 sieve 61.8 %
Cumulative percent passing the #8 sieve 30.7 %
Cumulative percent passing the #16 sieve 20 %
Cumulative percent passing the #30 sieve 13.2 %
Cumulative percent passing the #50 sieve 8 %
Cumulative percent passing the #100 sieve 4.3 %
Cumulative percent passing the #200 sieve 2.1 %