Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 215677 DEA: 044G0804 EFIS: 0412000332 COOP: 042676
QA Service Level: 1
DIST-CO-RTE-PM: 04-SOL-80-R10.4/30.2
Work Description: Highway widening, overhead signs, and electronic toll system.
Location Description: In Solano County in Fairfield and Vacaville from 1.0 mile west of Red Top Road Undercrossing to 0.4 mile east of Leisure Town Road Overcrossing.
Contractor Name: O.C. JONES & SONS, INC.
Contractor Address: 1520 Fourth Street, Berkeley, CA 94710
Resident Engineer: Justen Tatum Structure Rep.: Kelsey Littell
DIME Sample ID: 2023-03-04-12
TL Number from the TL Form: C727150
Sample Submitted By Organization: CT D04 - Concord Field Laboratory
Sample Organization Contact: (510) 714-7019
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 03/04/2023
Date that the sample was received by the laboratory/organization performing the testing: 03/06/2023
The quantity of what the sample constitutes: 2 boxes
A brief description of the sample: Hot mix asphalt in boxes
From where was the sample collected: Manufacturer
Laboratory sample identification: Con_23_198
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan-Vallejo
DIME Test ID: 2023-03-04-12-1
Test Method: AASHTO T209-22: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)
Verified Date: 03/22/2023
Date Tested: 03/07/2023
Submitted By Organization: CT D04 - Concord Field Laboratory
Organization Address: 2525 Stanwell Drive, Suite 100,
Organization City: Concord
Organization State: CA
Organization Zipcode: 94520
Organization Email: gurind.joshi@dot.ca.gov
Organization Phone: (510) 714-7019
General Comments for this Test: Lot 6 SL 9
Test Result Compliance: complies
Additional Comments When Verified:
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Number of Samples
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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 1
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7372.9 grams
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Mass of oven-dry sample in air for Sample 1
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2677.8 grams
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Mass of container filled with the sample and water for Sample 1
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8978.3 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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2.497
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Theoretical maximum density at 25°C (77°F)
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2489.8 kg/m^3
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