Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 9999 DEA: 00000000 EFIS: 0000000000 COOP: 99999333399 MINOR: 333333 Permit Numbers: 555555 0400NRT0000
QA Service Level: 1
DIST-CO-RTE-PM: 03-SAC,OMG-888,99,80-0.6-0.6
Work Description: THIS PROJECT RECORD WAS ADDED FOR DIME DEVELOPERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Location Description: THIS PROJECT RECORD WAS ADDED FOR DIME DEVELOPERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Contractor Name: YYZ
Contractor Address: 1234 address, Sacramento, CA 95824
Resident Engineer: RE_first RE_last Structure Rep.: SR_First SR_Last
DIME Sample ID: 2019-04-01-49
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Verification
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: JMF Verification
A brief description of the sample: 1/2" RHMA-G, PG 64-16 w/1% Lime Slurry
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Griffith Edmonston
DIME Test ID: 2019-04-01-49-1
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: 12/03/2019
Date Tested: 04/01/2019
Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Boulevard, Room 225,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (916) 227-7302
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Bulk Specific Gravity
|
2.385
|
Bulk Specific Gravity 2
|
2.394
|
Bulk Specific Gravity 3
|
2.393
|
Average Bulk Specific Gravity
|
2.391
|
DIME Test ID: 2019-04-01-49-2
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: 12/03/2019
Date Tested: 04/01/2019
Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Boulevard, Room 225,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (916) 227-7302
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
|
Method Performed
|
no data
|
Mass of container filled with water
|
7404 grams
|
Mass of oven-dry sample in air for Sample 1
|
1577 grams
|
Mass of container filled with the sample and water for Sample 1
|
8352 grams
|
Temperature of Water
|
27 °F
|
Specific Gravity for Sample 1
|
2.505
|
Theoretical maximum density at 25°C (77°F)
|
no data
|
DIME Test ID: 2019-04-01-49-3
Test Method: AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)
Verified Date: 12/03/2019
Date Tested: 04/01/2019
Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Boulevard, Room 225,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (916) 227-7302
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Percent Air Voids
|
4.8 %
|
Percent Air Voids 2
|
4.4 %
|
Percent Air Voids 3
|
4.5 %
|
Average Percent Air Voids
|
4.6 %
|
DIME Test ID: 2019-04-01-49-4
Test Method: AASHTO T308-10: Standard Method of Test for Determining the Asphalt Binder Content of Hot Mix Asphalt (HMA) by the Ignition Method (Method A) (Asphalt Binder Content)
Verified Date: 12/03/2019
Date Tested: 04/01/2019
Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Boulevard, Room 225,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (916) 227-7302
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
What temperature unit is used?
|
Fahrenheit
|
Test procedure used?
|
Method B
|
Mass of the specimen basket assembly
|
no data
|
Mass of the specimen and specimen basket assembly prior to ignition
|
no data
|
Mass of HMA Sample prior to ignition
|
1,543.0 g
|
Corrected Asphalt Binder Content
|
7.14 %
|
Mass Loss
|
no data
|
Mass of aggregate remaining after ignition
|
1,425.4 g
|
Correction Factor (Percent by mass of HMA Specimen)
|
0.48 %
|
Moisture Content
|
0.00 %
|
Temperature Compensation Factor
|
no data
|
Test Temperature
|
1000 F
|
DIME Test ID: 2019-04-01-49-5
Test Method: AASHTO T324-14: Standard Method of Test for Hamburg Wheel-Track Testing of Compacted Asphalt Mixtures (Hamburg Wheel Track)
Verified Date: 12/03/2019
Date Tested: 04/01/2019
Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Boulevard, Room 225,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (916) 227-7302
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Specified minimum number of passes at ½” rut depth, or number of passes at ½” rut depth if applicable (Wheel A)
|
22000
|
Specified minimum number of passes at ½” rut depth, or number of passes at ½” rut depth if applicable (Wheel B)
|
22200
|
Impression at specified number of passes, or specified maximum impression if applicable (Wheel A)
|
4.62 mm
|
Impression at specified number of passes, or specified maximum impression if applicable (Wheel B)
|
4.71 mm
|
Stripping Inflection Point (Wheel A)
|
0
|
Stripping Inflection Point (Wheel B)
|
0
|