Project Information

Project ID: 993905 DEA: 034H5814 EFIS: 0320000240 QA Service Level: 1

DIST-CO-RTE-PM: 03-SAC-5-27.6/29.5,30.4/34.3

Work Description: ROADWAY EXCAVATION, PLACE CL2 AB, HMA & RHMA, & MODIFY RAMP METERS.

Location Description: SACRAMENTO COUNTY IN AND NEAR SACRAMENTO FROM 0.5 MILES SOUTH OF ARENA BOULEVARD OVERCROSSING TO 0.4 MILES SOUTH OF 99/5 INTERCHANGE AND FROM 0.5 MILES NORTH OF THE 99/5 INTERCHANGE TO 0.4 MILE SOUTH OF THE YOLO COUNTY LINE

Contractor Name: DeSILVA GATES CONSTRUCTION

Contractor Address: 3855 N Freeway, Ste. 100, Sacramento, CA 95834

Resident Engineer: Hani Eissa Structure Rep.: Brent Bullard

Sample Information

DIME Sample ID: 2024-07-23-114

TL Number from the TL Form:

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: 07/23/2024

Date that the sample was received by the laboratory/organization performing the testing: 08/12/2024

The quantity of what the sample constitutes: 3/4" RHMA-G

A brief description of the sample: 2 Boxes

From where was the sample collected: Source

Laboratory sample identification: Daily 24-152

Structure unique identifier:

Structure name:

The fabricator/manufacturer/facility name: DeSilva Gates

Material Information

HMA Type: RHMA-G

HMA Grading: 3/4 inch

Lot number: 1

Sublot number: 6

HMA Mix Number:

Binder content (%):

Virgin binder PG:

Design binder PG:

Binder Supplier:

RAP content (%):

WMA Additives:

Antistrip type:

Test Results

Test 1 of 2

DIME Test ID: 2024-07-23-114-1

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: 08/14/2024

Date Tested: 08/14/2024

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	2.501
Theoretical maximum density at 25°C (77°F)	3 kg/m^3

Test 2 of 2

DIME Test ID: 2024-07-23-114-2

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)