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Sample Record for 2023-12-15-41

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

Project Information

Project ID: 994553 DEA: 032G7204 EFIS: 0322000151 QA Service Level: 1
DIST-CO-RTE-PM: 03-YOL-113-R10.1/R10.8
Work Description: JOINTED PLAIN CONC PVMT, INDIVIDUAL SLAB REPL, & REMOVE CONC PVMT.
Location Description: YOLO COUNTY IN WOODLAND FROM 0.1 MILE SOUTH OF EAST WOODLAND OVERHEAD TO 0.1 MILE SOUTH OF S5/S113 CONNECTOR UNDERCROSSING
Contractor Name: FBD VANGUARD CONSTRUCTION INC
Contractor Address: Unknown
Resident Engineer: Jody Phillips Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-12-15-41
TL Number from the TL Form:
Sample Submitted By Organization: CT D03 - Olivehurst Northern Regional Laboratory
Sample Organization Contact: (530) 741-4238
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 12/15/2023
Date that the sample was received by the laboratory/organization performing the testing: 12/21/2023
The quantity of what the sample constitutes: 3/4" HMA w/ RAP 15%
A brief description of the sample: Boxes of Mix
From where was the sample collected: Job Site
Laboratory sample identification: 23-290
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Teichert Woodland

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number: 3
Sublot number: 1
HMA Mix Number:
Binder content (%):
Virgin binder PG:
Design binder PG:
Binder Supplier:
RAP content (%):
WMA Additives:
Antistrip type:
Test results on following page(s): 3

Test Results

Test 1 of 3

DIME Test ID: 2023-12-15-41-1
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: 12/22/2023
Date Tested: 12/22/2023
Submitted By Organization: CT D03 - Olivehurst Northern Regional Laboratory
Organization Address: 5330 Arboga Road,
Organization City: Olivehurst
Organization State: CA
Organization Zipcode: 95961
Organization Email: jeff.herbert@dot.ca.gov
Organization Phone: (530) 741-4238
General Comments for this Test:
Test Result Compliance: not applicable
Additional Comments When Verified:
Number of Samples 1
What is the unit of measurement for theoretical density? SI Units
Mass Determination Air
Specific Gravity for Sample 1 2.462
Theoretical maximum density at 25°C (77°F) 2 kg/m^3

Test 2 of 3

DIME Test ID: 2023-12-15-41-2
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: 12/22/2023
Date Tested: 12/22/2023
Submitted By Organization: CT D03 - Olivehurst Northern Regional Laboratory
Organization Address: 5330 Arboga Road,
Organization City: Olivehurst
Organization State: CA
Organization Zipcode: 95961
Organization Email: jeff.herbert@dot.ca.gov
Organization Phone: (530) 741-4238
General Comments for this Test:
Test Result Compliance: does not comply
Additional Comments When Verified:
What temperature unit is used? Celsius
Test procedure used? Method A
Mass of HMA Sample prior to ignition 2127.6 g
Corrected Asphalt Binder Content 6.27 %
Mass Loss 149.1 g
Correction Factor (Percent by mass of HMA Specimen) 0.74 %
Moisture Content no data0 %
Temperature Compensation Factor 0.02 %
Test Temperature 538 C

Test 3 of 3

DIME Test ID: 2023-12-15-41-3
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: 12/22/2023
Date Tested: 12/22/2023
Submitted By Organization: CT D03 - Olivehurst Northern Regional Laboratory
Organization Address: 5330 Arboga Road,
Organization City: Olivehurst
Organization State: CA
Organization Zipcode: 95961
Organization Email: jeff.herbert@dot.ca.gov
Organization Phone: (530) 741-4238
General Comments for this Test:
Test Result Compliance: does not comply
Additional Comments When Verified:
What temperature unit is used? Celsius
Test procedure used? Method A
Mass of HMA Sample prior to ignition 2402.6 g
Corrected Asphalt Binder Content 5.96 %
Mass Loss 160.9 g
Correction Factor (Percent by mass of HMA Specimen) 0.74 %
Moisture Content no data0 %
Temperature Compensation Factor 0.02 %
Test Temperature 538 C