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Sample Record for 2024-01-29-18

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

Project Information

Project ID: 215620 DEA: 01436404 EFIS: 0100000193 QA Service Level: 1
DIST-CO-RTE-PM: 01-DN-101-35.8/36.5
Work Description: Dr. Fine Bridge Replacement
Location Description: DR. FINE BRIDGE REPLACEMENT FROM LAKE EARL DR TO S FRED D. HAIGHT DR ON HWY 101 ACROSS SMITH RIVER.
Contractor Name: MCM Construction
Contractor Address: PO Box 620, North Highlands, Ca 95660
Resident Engineer: Clayton Malmberg Structure Rep.: Brian Cinkutis

Sample Information

DIME Sample ID: 2024-01-29-18
TL Number from the TL Form:
Sample Submitted By Organization: CT D01 - Crescent City Field Laboratory
Sample Organization Contact: (707) 496-5581
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 01/29/2024
Date that the sample was received by the laboratory/organization performing the testing: 01/31/2024
The quantity of what the sample constitutes: 12boxes
A brief description of the sample: half inch HMA Type A
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name: Dr. Fine detour bridge
The fabricator/manufacturer/facility name: tidewater

Material Information

HMA Type: Type A HMA
HMA Grading: 1/2 inch
Lot number:
Sublot number:
HMA Mix Number:
Binder content (%):
Virgin binder PG:
Design binder PG:
Binder Supplier:
RAP content (%):
WMA Additives:
Antistrip type:

Test Results

Test 1 of 3

DIME Test ID: 2024-01-29-18-1
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: 02/02/2024
Date Tested: 02/01/2024
Submitted By Organization: CT D01 - District 1 Materials Laboratory
Organization Address: 1050 River Ranch Road,
Organization City: Fortuna
Organization State: California
Organization Zipcode: 95540
Organization Email: leif.ayres@dot.ca.gov
Organization Phone: (707) 496-0974
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 1720.8 g
Corrected Asphalt Binder Content 4.95 %
Mass Loss 93.6 g
Correction Factor (Percent by mass of HMA Specimen) 0.52 %
Moisture Content no data0 %
Temperature Compensation Factor no data0 %
Test Temperature 538 C

Test 2 of 3

DIME Test ID: 2024-01-29-18-2
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: 02/02/2024
Date Tested: 02/01/2024
Submitted By Organization: CT D01 - District 1 Materials Laboratory
Organization Address: 1050 River Ranch Road,
Organization City: Fortuna
Organization State: California
Organization Zipcode: 95540
Organization Email: leif.ayres@dot.ca.gov
Organization Phone: (707) 496-0974
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Number of tests 1
What is the unit of measurement for theoretical density? SI Units
Mass Determination Air
Method Performed Mechanical Agitation - Method A
Mass of container filled with water 7381.5 grams
Mass of oven-dry sample in air for Sample 1 1748.6 grams
Mass of container filled with the sample and water for Sample 1 8464.4 grams
Temperature of Water 77 °F
Specific Gravity for Sample 1 2.627
Theoretical maximum density at 25°C (77°F) 2619.4 kg/m^3

Test 3 of 3

DIME Test ID: 2024-01-29-18-3
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: 02/02/2024
Date Tested: 02/01/2024
Submitted By Organization: CT D01 - District 1 Materials Laboratory
Organization Address: 1050 River Ranch Road,
Organization City: Fortuna
Organization State: California
Organization Zipcode: 95540
Organization Email: leif.ayres@dot.ca.gov
Organization Phone: (707) 496-0974
General Comments for this Test: 2 Cores
Test Result Compliance:
Additional Comments When Verified:
Bulk Specific Gravity 2.431
Bulk Specific Gravity 2 2.43
Average Bulk Specific Gravity 2.431