Project Information

Project ID: 994546 DEA: 030H3704 EFIS: 0315000151 QA Service Level: 1

DIST-CO-RTE-PM: 03-YUB-65-R0.5/1.8

Work Description: PLACE HMA, RHMA & CONC CURB/SIDEWALK, INSTALL & MODIFY SIGNAL SYSTEMS.

Location Description: YUBA COUNTY NEAR WHEATLAND FROM 0.2 MILE SOUTH OF MAIN STREET TO GRASSHOPPER SLOUGH BRIDGE

Contractor Name: BALDWIN CONTRACTING CO., INC. DBA KNIFE RIVER CONSTRUCTION

Contractor Address: 1764 Skyway, Chico, CA 95928

Resident Engineer: Dustin Watts Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2024-07-09-51

TL Number from the TL Form: C803757

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: 07/09/2024

Date that the sample was received by the laboratory/organization performing the testing: 07/10/2024

The quantity of what the sample constitutes: 3/4" HMA w/ 15% RAP

A brief description of the sample: 2 Boxes

From where was the sample collected: Source

Laboratory sample identification: Daily 24-101

Structure unique identifier:

Structure name:

The fabricator/manufacturer/facility name: KRC Hallwood

Material Information

HMA Type: Type A HMA

HMA Grading: 3/4 inch

Lot number: 1

Sublot number: 3

HMA Mix Number:

Test Results

Test 1 of 2

DIME Test ID: 2024-07-09-51-1

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: 07/12/2024

Date Tested: 07/11/2024

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	2.567
Theoretical maximum density at 25°C (77°F)	3 kg/m^3

Test 2 of 2

DIME Test ID: 2024-07-09-51-2

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)