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Sample Record for 2024-07-18-8

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

Project Information

Project ID: 995089 DEA: 010M8104 EFIS: 0123000072 QA Service Level: 1
DIST-CO-RTE-PM: 01-HUM-36-7/42
Work Description:
Location Description:
Contractor Name: Pacific Coast Drilling Co., Inc.
Contractor Address: 364 Bellevue Ave., Santa Rosa 95407
Resident Engineer: Cody Long Structure Rep.: George Moore

Sample Information

DIME Sample ID: 2024-07-18-8
TL Number from the TL Form:
Sample Submitted By Organization: CT D01 - Fortuna Field Laboratory
Sample Organization Contact: (707) 496-0974
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 07/18/2024
Date that the sample was received by the laboratory/organization performing the testing: 07/18/2024
The quantity of what the sample constitutes: 1 Working Day
A brief description of the sample: 3/4" HMA w/ RAP
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Mercer-Fraser — Plant B (Fortuna, CA)

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number: 1
Sublot number: 2
HMA Mix Number: L230245
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: 2024-07-18-8-1
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: 08/05/2024
Date Tested: 08/05/2024
Submitted By Organization: CT D01 - Fortuna Field 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:
What temperature unit is used? Fahrenheit
Test procedure used? Method A
Mass of the specimen basket assembly 3996.8 g
Mass of the specimen and specimen basket assembly prior to ignition 6430.1 g
Mass of HMA Sample prior to ignition 2433.3 g
Corrected Asphalt Binder Content 5.81 %
Mass Loss 130.9 g
Mass of aggregate remaining after ignition 2302.4 g
Correction Factor (Percent by mass of HMA Specimen) -0.43 %
Moisture Content no data0 %
Temperature Compensation Factor no data0 %
Test Temperature 482 F

Test 2 of 3

DIME Test ID: 2024-07-18-8-2
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: 08/05/2024
Date Tested: 07/22/2024
Submitted By Organization: CT D01 - Fortuna Field 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: RAP
Test Result Compliance:
Additional Comments When Verified:
What temperature unit is used? Fahrenheit
Test procedure used? Method A
Mass of the specimen basket assembly 3997.9 g
Mass of the specimen and specimen basket assembly prior to ignition 5608.9 g
Mass of HMA Sample prior to ignition 1611 g
Corrected Asphalt Binder Content 6.12 %
Mass Loss 98.6 g
Mass of aggregate remaining after ignition 1512.4 g
Correction Factor (Percent by mass of HMA Specimen) no data0 %
Moisture Content no data0 %
Temperature Compensation Factor no data0 %
Test Temperature 538 F

Test 3 of 3

DIME Test ID: 2024-07-18-8-3
Test Method: AASHTO T30-19: Standard Method of Test for Mechanical Analysis of Extracted Aggregate (Mechanical Analysis)
Verified Date: 08/05/2024
Date Tested: 08/05/2024
Submitted By Organization: CT D01 - Fortuna Field 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: not applicable
Additional Comments When Verified:
Is an aggregate correction factor used? No
Cumulative percent passing the 2 in. sieve 100 %
Cumulative percent passing the 1 1/2 in. sieve 100 %
Cumulative percent passing the 1 in. sieve 100 %
Cumulative percent passing the 3/4 in. sieve 100 %
Cumulative percent passing the 1/2 in. sieve 100 %
Cumulative percent passing the 3/8 in. sieve 99 %
Cumulative percent passing the #4 sieve 75 %
Cumulative percent passing the #8 sieve 53 %
Cumulative percent passing the #16 sieve 39 %
Cumulative percent passing the #30 sieve 31 %
Cumulative percent passing the #50 sieve 22 %
Cumulative percent passing the #100 sieve 16 %
Cumulative percent passing the #200 sieve 11.5 %