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Sample Record for 2019-04-25-18

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Project Information

Project ID: 210808 DEA: 020E0904 EFIS: 0200000016 QA Service Level: 1
DIST-CO-RTE-PM: 02-SHA-5-R29.3/R31.1,R45.0/R45.8
Work Description: REPLACE BRIDGE, REALIGN ROADWAY AND SEISMIC RETROFIT
Location Description: IN SHASTA COUNTY ABT 8 MI N OF SHASTA LAKE CTY AND NEAR LAKEHEAD FRM TURNTABLE BAY O/C TO 0.1 MI N OF O'BRIEN SRRA & FRM 0.4 MI S TO 0.3 MI N OF DOG CREEK BRIDGE.
Contractor Name: GOLDEN STATE BRIDGE, INC.
Contractor Address: 3701 Mallard Drive, Benicia, CA 94510
Resident Engineer: Nathan Alexander Structure Rep.: Brace, Christopher S 'Chris'

Sample Information

DIME Sample ID: 2019-04-25-18
TL Number from the TL Form: 001901
Sample Submitted By Organization: CT D02 - North Region Materials Lab
Sample Organization Contact: (530) 225-3194
Type of Sample: Verification
Type of Material: Hot Mix Asphalt
Sample Taken Date: 04/25/2019
Date that the sample was received by the laboratory/organization performing the testing: 04/25/2019
The quantity of what the sample constitutes: JMF Verification
A brief description of the sample: 3/4-inch Type A HMA (eq. PG 64-28 M)
From where was the sample collected: Manufacturer
Laboratory sample identification: D77851
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Northstate Asphalt

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number: 0
Sublot number: 0

Test Results

Test 1 of 3

DIME Test ID: 2019-04-25-18-2
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: 05/29/2019
Date Tested: 04/25/2019
Submitted By Organization: CT D02 - North Region Materials Lab
Organization Address: 1657 Riverside Dr,MS-83
Organization City: Redding
Organization State: CA
Organization Zipcode: 96001
Organization Email: ward.jenkins@dot.ca.gov
Organization Phone: (530) 225-3194
General Comments for this Test:
Additional Comments When Verified:
Number of tests 1
Mass Determination Air
Method Performed no data
Mass of container filled with water 7372.0 grams
Mass of oven-dry sample in air for Sample 1 2566.0 grams
Mass of container filled with the sample and water for Sample 1 8922.0 grams
Temperature of Water 25 °F
Specific Gravity for Sample 1 2.527

Test 2 of 3

DIME Test ID: 2019-04-25-18-3
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: 05/29/2019
Date Tested: 04/26/2019
Submitted By Organization: CT D02 - North Region Materials Lab
Organization Address: 1657 Riverside Dr,MS-83
Organization City: Redding
Organization State: CA
Organization Zipcode: 96001
Organization Email: ward.jenkins@dot.ca.gov
Organization Phone: (530) 225-3194
General Comments for this Test:
Additional Comments When Verified:
Bulk Specific Gravity 2.375
Bulk Specific Gravity 2 2.381
Bulk Specific Gravity 3 2.381
Average Bulk Specific Gravity 2.379

Test 3 of 3

DIME Test ID: 2019-04-25-18-4
Test Method: AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)
Verified Date: 05/29/2019
Date Tested: 04/29/2019
Submitted By Organization: CT D02 - North Region Materials Lab
Organization Address: 1657 Riverside Dr,MS-83
Organization City: Redding
Organization State: CA
Organization Zipcode: 96001
Organization Email: ward.jenkins@dot.ca.gov
Organization Phone: (530) 225-3194
General Comments for this Test:
Additional Comments When Verified:
Percent Air Voids 6 %
Percent Air Voids 2 5.8 %
Percent Air Voids 3 5.8 %
Percent Air Voids Average 5.9 %

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
2019-04-25-18-1AASHTO T308-10: Standard Method of Test for Determining the Asphalt Binder Content of Hot Mix Asphalt (HMA) by the Ignition Method (Asphalt Binder Content)05/29/2019Not scheduledWard JenkinsCT D02 - North Region Materials Lab