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Sample Record for 2019-10-31-7

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

Project Information

Project ID: 214136 DEA: 010F3604 EFIS: 0115000115 QA Service Level: 1
DIST-CO-RTE-PM: 01-HUM-101-R39.2/R48.3
Work Description: COLD PLANE AC PAVEMENT, RHMA OVERLAY, AND GUARDRAIL INSTALLATION.
Location Description: HUMBOLDT COUNTY NEAR REDCREST, PEPPERWOOD, AND STAFFORD FROM ENGLWOOD PARK UNDERCROSSING TO EEL RIVER BRIDGE AND OVERHEAD
Contractor Name: MERCER-FRASER COMPANY
Contractor Address: PO BOX 1006, EUREKA CA 95502
Resident Engineer: Joaquin Rodriguez Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2019-10-31-7
TL Number from the TL Form:
Sample Submitted By Organization: CT D01 - District 1 Materials Laboratory
Sample Organization Contact: (707) 496-0974
Type of Sample: Verification
Type of Material: Hot Mix Asphalt
Sample Taken Date: 10/31/2019
Date that the sample was received by the laboratory/organization performing the testing: 10/31/2019
The quantity of what the sample constitutes: JMF Verification
A brief description of the sample: 1/2" RHMA-G
From where was the sample collected: Manufacturer
Laboratory sample identification: 19-261
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Mercer Fraser B

Material Information

HMA Type: RHMA-G
HMA Grading: 1/2 inch
Lot number: Unknown
Sublot number: Unknown
HMA Mix Number:
Test results on following page(s): 3

Test Results

Test 1 of 3

DIME Test ID: 2019-10-31-7-1
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: 11/05/2019
Date Tested: 11/05/2019
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 2.382
Theoretical maximum density at 25°C (77°F) no data

Test 2 of 3

DIME Test ID: 2019-10-31-7-2
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: 11/05/2019
Date Tested: 11/04/2019
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:
Bulk Specific Gravity 2.369
Bulk Specific Gravity 2 2.366
Bulk Specific Gravity 3 2.370
Average Bulk Specific Gravity 2.368

Test 3 of 3

DIME Test ID: 2019-10-31-7-3
Test Method: AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)
Verified Date: 11/05/2019
Date Tested: 11/04/2019
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:
Percent Air Voids 0.5 %
Percent Air Voids 2 0.7
Percent Air Voids 3 0.5
Percent Air Voids Average 0.6