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Sample Record for 2019-04-01-31

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

Project Information

Project ID: 212753 DEA: 020H7604 EFIS: 0215000086 QA Service Level: 1
DIST-CO-RTE-PM: 02-LAS,PLU-VAR-VAR
Work Description: FULL DEPTH RECLAMATION AND DRAINAGE REHABILITATION
Location Description: LASSEN AND PLUMAS COUNTIES AT AND NEAR CHILCOOT FROM 0.9 MILE WEST OF SUMMIT SCHOOL DRIVE TO 0.7 MILE EAST OF ROUTE 395
Contractor Name: HAT CREEK CONSTRUCTION & MATERIALS, INC.
Contractor Address: 24339 HWT 89, BURNEY, CA 96013
Resident Engineer: Ron Collins Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2019-04-01-31
TL Number from the TL Form:
Sample Submitted By Organization: CGI Technical Services, Inc.
Sample Organization Contact: (530) 244-6277
Type of Sample: Quality Control
Type of Material: Hot Mix Asphalt
Sample Taken Date: 04/01/2019
Date that the sample was received by the laboratory/organization performing the testing: 04/01/2019
The quantity of what the sample constitutes: Mix Design
A brief description of the sample: HMA Lab Batch - Mix Design
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Hat Creek - Ward Lake

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number: Unknown
Sublot number: Unknown

Test Results

Test 1 of 5

DIME Test ID: 2019-04-01-31-2
Test Method: AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)
Verified Date: 05/08/2019
Date Tested: 05/01/2019
Submitted By Organization: CGI Technical Services, Inc.
Organization Address: 1612 Insight Place,
Organization City: Redding
Organization State: CA
Organization Zipcode: 96003
Organization Email: vkyatham@currygroup.com
Organization Phone: (530) 244-6277
General Comments for this Test:
Additional Comments When Verified:
Percent Air Voids 4.1 %
Percent Air Voids 2 3.9 %
Percent Air Voids 3 4.1 %
Percent Air Voids Average 4 %

Test 2 of 5

DIME Test ID: 2019-04-01-31-4
Test Method: AASHTO T308-10: Standard Method of Test for Determining the Asphalt Binder Content of Hot Mix Asphalt (HMA) by the Ignition Method (Asphalt Binder Content)
Verified Date: 05/08/2019
Date Tested: 05/01/2019
Submitted By Organization: CGI Technical Services, Inc.
Organization Address: 1612 Insight Place,
Organization City: Redding
Organization State: CA
Organization Zipcode: 96003
Organization Email: vkyatham@currygroup.com
Organization Phone: (530) 244-6277
General Comments for this Test:
Additional Comments When Verified:
Asphalt Binder Content 5.40 %
Correction Factor (Percent by mass of HMA Specimen) no data

Test 3 of 5

DIME Test ID: 2019-04-01-31-5
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: 05/08/2019
Date Tested: 05/01/2019
Submitted By Organization: CGI Technical Services, Inc.
Organization Address: 1612 Insight Place,
Organization City: Redding
Organization State: CA
Organization Zipcode: 96003
Organization Email: vkyatham@currygroup.com
Organization Phone: (530) 244-6277
General Comments for this Test:
Additional Comments When Verified:
Number of tests 1
Mass Determination Air
Specific Gravity for Sample 1 2.392

Test 4 of 5

DIME Test ID: 2019-04-01-31-6
Test Method: AASHTO T275-07r12: Standard Method of Test for Bulk Specific Gravity (Gmb) of Compacted Asphalt Mixtures Using Paraffin-Coated Specimens (Bulk Specific Gravity)
Verified Date: 05/08/2019
Date Tested: 05/03/2019
Submitted By Organization: CGI Technical Services, Inc.
Organization Address: 1612 Insight Place,
Organization City: Redding
Organization State: CA
Organization Zipcode: 96003
Organization Email: vkyatham@currygroup.com
Organization Phone: (530) 244-6277
General Comments for this Test:
Additional Comments When Verified:
Bulk Specific Gravity 2.286
Bulk Specific Gravity 2 2.289
Bulk Specific Gravity 3 2.289
Average Bulk Specific Gravity 2.288

Test 5 of 5

DIME Test ID: 2019-04-01-31-7
Test Method: AASHTO T275-07r12: Standard Method of Test for Bulk Specific Gravity (Gmb) of Compacted Asphalt Mixtures Using Paraffin-Coated Specimens (Bulk Specific Gravity)
Submitted By Organization: CGI Technical Services, Inc.
Organization Address: 1612 Insight Place,
Organization City: Redding
Organization State: CA
Organization Zipcode: 96003
Organization Email: vkyatham@currygroup.com
Organization Phone: (530) 244-6277
Data has not been verified.

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.