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Sample Record for 2023-02-02-41

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

Project Information

Project ID: 993124 DEA: 101F1704 EFIS: 1016000032 QA Service Level: 1
DIST-CO-RTE-PM: 10-SJ-26,99-1.1,19.3
Work Description: REMOVE AND REPLACE BRIDGE.
Location Description: SAN JOAQUIN COUNTY NEAR STOCKTON AT ROUTE 26/99 SEPARATION
Contractor Name: Andrew M Jordan Inc, DBA A & B Construction
Contractor Address: 1350 4th Street, Berkeley, CA 94710
Resident Engineer: Troy Scheiber Structure Rep.: Chuck Pazzi

Sample Information

DIME Sample ID: 2023-02-02-41
TL Number from the TL Form: 938459
Sample Submitted By Organization: CT D10 - District 10 Materials Laboratory
Sample Organization Contact: (209) 948-7567
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 02/02/2023
Date that the sample was received by the laboratory/organization performing the testing: 02/07/2023
The quantity of what the sample constitutes: 4 boxes
A brief description of the sample: 1/2 HMA-A
From where was the sample collected: Manufacturer
Laboratory sample identification: 23-h-007
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Teichert Vernalis

Material Information

HMA Type: Type A HMA
HMA Grading: 1/2 inch
Lot number: 2
Sublot number: 2
HMA Mix Number: 22 004
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: 2023-02-02-41-1
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: 04/19/2023
Date Tested: 02/10/2023
Submitted By Organization: CT D10 - District 10 Materials Laboratory
Organization Address: 1976 East Dr. Martin Luther King Jr. Boulevard,
Organization City: Stockton
Organization State: CA
Organization Zipcode: 95205
Organization Email: mandeep.dhesi@dot.ca.gov
Organization Phone: (209) 948-7567
General Comments for this Test:
Test Result Compliance: not applicable
Additional Comments When Verified:
Number of tests 1
What is the unit of measurement for theoretical density? US Units
Mass Determination Water
Specific Gravity for Sample 1 2.46
Theoretical maximum density at 25°C (77°F) 153.1 lb/ft^3

Test 2 of 2

DIME Test ID: 2023-02-02-41-2
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: 04/19/2023
Date Tested: 02/10/2023
Submitted By Organization: CT D10 - District 10 Materials Laboratory
Organization Address: 1976 East Dr. Martin Luther King Jr. Boulevard,
Organization City: Stockton
Organization State: CA
Organization Zipcode: 95205
Organization Email: mandeep.dhesi@dot.ca.gov
Organization Phone: (209) 948-7567
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 HMA Sample prior to ignition 1528 g
Corrected Asphalt Binder Content 5.7 %
Mass Loss 101.9 g
Correction Factor (Percent by mass of HMA Specimen) 0.77 %
Moisture Content no data0 %
Temperature Compensation Factor 0.2 %
Test Temperature 538 F