Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 212060 DEA: 010F5204 EFIS: 0116000016
QA Service Level: 1
DIST-CO-RTE-PM: 01-HUM-101-R8.5/R22.4
Work Description: RUBBERIZED HMA OVERLAY
Location Description: HUMBOLDT COUNTY AT VARIOUS LOCATIONS FROM 0.1 MILE SOUTH OF BENBOW OVERCROSSING TO FRENCH ROAD UNDERCROSSING
Contractor Name: MERCER-FRASER COMPANY
Contractor Address: Unknown
Resident Engineer: Joaquin Rodriguez Structure Rep.: Unknown
DIME Sample ID: 2018-04-03-1
TL Number from the TL Form: 865192
Sample Submitted By Organization: CT D01 - District 1 Materials Laboratory
Sample Organization Contact: (707) 496-0974
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 04/03/2018
Date that the sample was received by the laboratory/organization performing the testing: 04/04/2018
The quantity of what the sample constitutes: 750 Tons
A brief description of the sample: 1/2 RHMA-G
From where was the sample collected: Job Site
Laboratory sample identification: 61915
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Mercer Fraser Plant A
DIME Test ID: 2018-04-03-1-1
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: 04/05/2018
Date Tested: 04/05/2018
Submitted By Organization: CT D01 - District 1 Materials Laboratory
Organization Address: 1726 Albee Street,
Organization City: Eureka
Organization State: CA
Organization Zipcode: 95501
Organization Email: leif.ayres@dot.ca.gov
Organization Phone: (707) 496-0974
General Comments for this Test: OBC 7.7% Target Values 7.3-8.2%
Ton 856
Test Result Compliance: does not comply
Additional Comments When Verified:
What temperature unit is used?
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Fahrenheit
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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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no data
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Corrected Asphalt Binder Content
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7.25 %
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Mass Loss
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no data
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Correction Factor (Percent by mass of HMA Specimen)
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no data
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Moisture Content
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no data
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Temperature Compensation Factor
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no data
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Test Temperature
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no data
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