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Sample Record for 2023-04-21-25

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

Project Information

Project ID: 994467 DEA: 101R1804 EFIS: 1023000110 QA Service Level: 1
DIST-CO-RTE-PM: 10-TUO,TUO-120-0.96, 0.96/0.96
Work Description:
Location Description:
Contractor Name: SIERRA MOUNTAIN CONSTRUCTION INC.
Contractor Address: 13919 MONO WAY, SONORA CA 95370
Resident Engineer: Troy Scheiber Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-04-21-25
TL Number from the TL Form: 938462
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: 04/21/2023
Date that the sample was received by the laboratory/organization performing the testing: 04/25/2023
The quantity of what the sample constitutes: 4 boxes
A brief description of the sample: 3/4 HMA
From where was the sample collected: Manufacturer
Laboratory sample identification: 23-H-61
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: GRI, Munn & Perkins

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number: 3
Sublot number: 2
HMA Mix Number: 23J001
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2023-04-21-25-1
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: 04/27/2023
Date Tested: 04/26/2023
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 2.481
Theoretical maximum density at 25°C (77°F) 154.4 lb/ft^3

Test 2 of 2

DIME Test ID: 2023-04-21-25-2
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: 04/27/2023
Date Tested: 04/26/2023
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? Celsius
Test procedure used? Method A
Mass of HMA Sample prior to ignition 2025 g
Corrected Asphalt Binder Content 4.54 %
Mass Loss 105.3 g
Correction Factor (Percent by mass of HMA Specimen) 0.51 %
Moisture Content no data0 %
Temperature Compensation Factor 0.15 %
Test Temperature 538 C