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Sample Record for 2019-11-19-1

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

Project Information

Project ID: 99999 DEA: 0322222 QA Service Level:
DIST-CO-RTE-PM: 03-SAC,OMG-888,99,80-0.6-0.6
Work Description: THIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Location Description: THIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2019-11-19-1
TL Number from the TL Form: 123
Sample Submitted By Organization: CT D04 - Richmond Field Laboratory
Sample Organization Contact: (510) 231-7151
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 11/19/2019
Date that the sample was received by the laboratory/organization performing the testing: 11/19/2019
The quantity of what the sample constitutes: 750 Tons
A brief description of the sample: 3/4 RHMA
From where was the sample collected: Manufacturer
Laboratory sample identification: 23
Structure unique identifier: 07-2233
Structure name:
The fabricator/manufacturer/facility name: SYAR Lake Herman Drum

Material Information

HMA Type: RHMA-G
HMA Grading: 3/4 inch
Lot number: 1
Sublot number: 2
HMA Mix Number:

Test Results

Test 1 of 2

DIME Test ID: 2019-11-19-1-1
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: 11/19/2019
Date Tested: 11/19/2019
Submitted By Organization: CT D04 - Richmond Field Laboratory
Organization Address: 3401 Regatta Blvd.,
Organization City: Richmond, CA
Organization State: CA
Organization Zipcode: 94508
Organization Email: santiago.sequeira@dot.ca.gov
Organization Phone: (925) 399-2497
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Number of tests 2
Mass Determination Water
Method Performed no data
Mass of oven-dry sample in air for Sample 1 5000.0 grams
Mass of sample in water for Sample 1 505.0 grams
Mass of oven-dry sample in air for Sample 2 6000.0 grams
Mass of sample in water for Sample 2 510.0 grams
Temperature of Water 98 °F
Specific Gravity for Sample 1 1.112
Specific Gravity for Sample 2 1.093
Average Specific Gravity 1.103
Theoretical maximum density at 25°C (77°F) no data

Test 2 of 2

DIME Test ID: 2019-11-19-1-2
Test Method: AASHTO T209-12: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)
Submitted By Organization: CT D04 - Richmond Field Laboratory
Organization Address: 3401 Regatta Blvd.,
Organization City: Richmond, CA
Organization State: CA
Organization Zipcode: 94508
Organization Email: santiago.sequeira@dot.ca.gov
Organization Phone: (925) 399-2497
Data has not been verified.