Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994115 DEA: 010H1914 EFIS: 0117000211
QA Service Level: 1
DIST-CO-RTE-PM: 01-HUM-96-27/27.4
Work Description: Project Name: Bluff Creek Wall
Location Description: HUMBOLDT COUNTY NEAR WEITCHPEC FROM 0.6 MILE TO 0.2 MILE WEST OF BLUFF CREEK ROAD
Contractor Name: Mercer-Fraser Company
Contractor Address: PO Box 1006, Eureka, CA 95502
Resident Engineer: Efren Banuelos Structure Rep.: Adlai Evans
DIME Sample ID: 2024-06-27-33
TL Number from the TL Form:
Sample Submitted By Organization: CT D01 - District 1 Materials Laboratory
Sample Organization Contact: (707) 496-0974
Type of Sample: Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 06/27/2024
Date that the sample was received by the laboratory/organization performing the testing: 06/28/2024
The quantity of what the sample constitutes: 4 Boxes 180 ton
A brief description of the sample: 1/2" HMA PG 64-16
From where was the sample collected: Manufacturer
Laboratory sample identification: 24-103
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Mercer Fraser Company, Willow Creek Plant
DIME Test ID: 2024-06-27-33-1
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: 07/01/2024
Date Tested: 07/01/2024
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: does not comply
Additional Comments When Verified:
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What temperature unit is used?
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Celsius
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Test procedure used?
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Method A
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Mass of HMA Sample prior to ignition
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1709.4 g
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Corrected Asphalt Binder Content
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5.11 %
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Mass Loss
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96.6 g
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Correction Factor (Percent by mass of HMA Specimen)
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0.54 %
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Moisture Content
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no data0 %
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Temperature Compensation Factor
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no data0 %
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Test Temperature
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538 C
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