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Sample Record for 2023-10-13-66

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

Project Information

Project ID: 994763 DEA: 040Y2104 EFIS: 0422000253 QA Service Level: 1
DIST-CO-RTE-PM: 04-SM-101-23.0/26.1
Work Description: COLD PLANE ASPHALT CONCRETE PAVEMENT AND OVERLAY WITH RHMA.
Location Description: SAN MATEO COUNTY IN SOUTH SAN FRANCISCO AND BRISBANE FROM 0.2 MILE NORTH OF OYSTER POINT BOULEVARD OVERCROSSING TO SAN FRANCISCO COUNTY LINE
Contractor Name: GRANITE ROCK COMPANY
Contractor Address: 5225 Hellyer Ave, Suite 220, San Jose, CA 95138
Resident Engineer: Chetan Sihra Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-10-13-66
TL Number from the TL Form:
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: 10/13/2023
Date that the sample was received by the laboratory/organization performing the testing: 10/16/2023
The quantity of what the sample constitutes: 250 Tons
A brief description of the sample: 1/2 RHMA-G
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Granite Rock Redwood

Material Information

HMA Type: RHMA-G
HMA Grading: 1/2 inch
Lot number: 1
Sublot number: 12
HMA Mix Number: D04 JMF 23 018
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: 2023-10-13-66-1
Test Method: AASHTO T275-07r12: Standard Method of Test for Bulk Specific Gravity (Gmb) of Compacted Asphalt Mixtures Using Paraffin-Coated Specimens (Bulk Specific Gravity)
Verified Date: 12/22/2023
Date Tested: 10/20/2023
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:
Additional Comments When Verified:
Bulk Specific Gravity 2.294

Test 2 of 2

DIME Test ID: 2023-10-13-66-2
Test Method: AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)
Verified Date: 12/22/2023
Date Tested: 10/20/2023
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:
Additional Comments When Verified:
Percent Air Voids 6.8 %