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Sample Record for 2018-04-04-6

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

Project Information

Project ID: 212740 DEA: 010H7004 EFIS: 0118000075 QA Service Level: 1
DIST-CO-RTE-PM: 01-DN-101-14.9/15.3, 14.8/15.1, 14.8/15.4
Work Description: Roadway stabilization & retaining wall repair
Location Description: In Del Norte County near Crescent City from 1.0 to 1.3 miles north of Rudsill Road
Contractor Name: STEWART ENGINEERING INC
Contractor Address: P O BOX 990010, REDDING CA 96099
Resident Engineer: Karen Sanders Structure Rep.: Gary Woodard

Sample Information

DIME Sample ID: 2018-04-04-6
TL Number from the TL Form: 928801
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: 04/04/2018
Date that the sample was received by the laboratory/organization performing the testing: 04/13/2018
The quantity of what the sample constitutes: 750 Tons
A brief description of the sample: 0.5 HMA-A wRAP
From where was the sample collected: Manufacturer
Laboratory sample identification: 61918
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Tidewater Smith River

Material Information

HMA Type: Type A HMA
HMA Grading: 1/2 inch
Lot number:
Sublot number:
HMA Mix Number:

Test Results

Test 1 of 2

DIME Test ID: 2018-04-04-6-1
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: 04/13/2018
Date Tested: 04/13/2018
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:
Test Result Compliance: does not comply
Additional Comments When Verified:
What temperature unit is used? Fahrenheit
Test procedure used? Method A
Mass of HMA Sample prior to ignition no data
Corrected Asphalt Binder Content 5.41 %
Mass Loss no data
Correction Factor (Percent by mass of HMA Specimen) no data
Moisture Content no data
Temperature Compensation Factor no data
Test Temperature no data

Test 2 of 2

DIME Test ID: 2018-04-04-6-2
Test Method: AASHTO T209-12: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)
Verified Date: 04/13/2018
Date Tested: 04/13/2018
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:
Test Result Compliance:
Additional Comments When Verified:
Number of tests 1
What is the unit of measurement for theoretical density? US Units
Mass Determination Air
Specific Gravity for Sample 1 2.561
Theoretical maximum density at 25°C (77°F) no data