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Sample Record for 2021-08-25-54

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Project Information

Project ID: 213411 DEA: 030H10U4 EFIS: 0317000246 QA Service Level: 1
DIST-CO-RTE-PM: 03-SAC-5-9.7/24.9
Work Description:
Location Description: Construction on state highway in Sacramento County in and near Sacramento from 1.1 miles south of Elk Grove Boulevard to American River Viaduct
Contractor Name: NOR CAL PAVING TEICHERT/GRANITE
Contractor Address: 400 Sunrise Ave. Ste. #300, Roseville, CA 95661
Resident Engineer: Daniel Tecle Structure Rep.: Pha Tran

Sample Information

DIME Sample ID: 2021-08-25-54
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Informational
Type of Material: Hot Mix Asphalt
Sample Taken Date: 08/25/2021
Date that the sample was received by the laboratory/organization performing the testing: 04/13/2023
The quantity of what the sample constitutes: 7 boxes
A brief description of the sample: 3/4" HMA-A
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Teichert - Perkins

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 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 on following page(s): 3

Test Results

Test 1 of 3

DIME Test ID: 2021-08-25-54-1
Test Method: ASTM D8225-19: Standard Test Method For Determination Of Cracking Tolerance Index Of Asphalt Mixture Using The Indirect Tensile Cracking Test At Intermediate Temperature
Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (530) 713-6823
Data has not been verified.

Test 2 of 3

DIME Test ID: 2021-08-25-54-2
Test Method: ASTM D8360-22: Standard Test Method for Determination of Rutting Tolerance Index of Asphalt Mixture Using the Ideal Rutting Test (Rutting Tolerance)
Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (530) 713-6823
Data has not been verified.

Test 3 of 3

DIME Test ID: 2021-08-25-54-5
Test Method: ASTM D8225-19: Standard Test Method For Determination Of Cracking Tolerance Index Of Asphalt Mixture Using The Indirect Tensile Cracking Test At Intermediate Temperature
Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (530) 713-6823
Data has not been verified.