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Sample Record for 2023-09-05-79

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

Project Information

Project ID: 993804 DEA: 043J0624 EFIS: 0419000534 QA Service Level: 1
DIST-CO-RTE-PM: 04-SM-101-16.5/23.0
Work Description: COLD PLANE AND PLACE HMA, REPLACE GUARDRAIL AND CURB RAMPS.
Location Description: SAN MATEO COUNTY AT VARIOUS LOCATION FROM BROADWAY OVERCROSSING TO 0.2 MILE NORTH OF OYSTER POINT BOULEVARD OVERCROSSING
Contractor Name: Bay Cities Paving & Grading, Inc. (David Nott)
Contractor Address: 1450 Civic Ct. Bldg B #400, Concord CA, 94520
Resident Engineer: Douglas Inori Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-09-05-79
TL Number from the TL Form: C910961
Sample Submitted By Organization: CT D04 - Hayward Field Laboratory
Sample Organization Contact: (510) 723-0168
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 09/05/2023
Date that the sample was received by the laboratory/organization performing the testing: 09/06/2023
The quantity of what the sample constitutes: 750 Tons
A brief description of the sample: 3/4 RHMA-G
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan-Pleasanton

Material Information

HMA Type: RHMA-G
HMA Grading: 3/4 inch
Lot number: 1
Sublot number: 9
HMA Mix Number: D04 JMF 22 036

Test Results

Test 1 of 1

DIME Test ID: 2023-09-05-79-1
Test Method: AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)
Verified Date: 11/17/2023
Date Tested: 09/07/2023
Submitted By Organization: CT D04 - Hayward Field Laboratory
Organization Address: 21339 Cabot Boulevard,
Organization City: Hayward
Organization State: CA
Organization Zipcode: 94545
Organization Email: pamela.brown@dot.ca.gov
Organization Phone: (510) 385-8258
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Percent Air Voids 5.4 %
Percent Air Voids 2 5.1 %
Percent Air Voids 3 5.2 %
Percent Air Voids Average 5.2 %