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Sample Record for 2019-10-25-22

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

Project Information

Project ID: 66667 DEA: JMFPP EFIS: 0019000043 QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for submitting Sample information for JMF Prequalification Program.
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2019-10-25-22
TL Number from the TL Form: 911405
Sample Submitted By Organization: CT D01 - District 1 Materials Laboratory
Sample Organization Contact: (707) 496-0974
Type of Sample: Verification
Type of Material: Reclaimed Asphalt Pavement
Sample Taken Date: 10/25/2019
Date that the sample was received by the laboratory/organization performing the testing: 11/01/2019
The quantity of what the sample constitutes: JMF Prequalification
A brief description of the sample: RAP
From where was the sample collected: Manufacturer
Laboratory sample identification: 19-263
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Syar Indunsties Lake Herman Batch

Material Information

RAP Source: Lake Herman Quarry
Aggregate Size: Unknown
Aggregate Source: Unknown
RAP Stockpile: Static
Stockpile Size (tons): 3200
Reclaimed Asphalt Pavement Mix Number:

Test Results

Test 1 of 4

DIME Test ID: 2019-10-25-22-1
Test Method: AASHTO T30-15: Standard Method of Test for Mechanical Analysis of Extracted Aggregate (Mechanical Analysis)
Submitted By Organization: CT D01 - District 1 Materials Laboratory
Organization Address: 1726 Albee Street,RSP #1
Organization City: Eureka
Organization State: CA
Organization Zipcode: 95501
Organization Email: leif.ayres@dot.ca.gov
Organization Phone: (707) 496-0974
This test has been superseded on 12/04/2019.
Reason: corrected

Test 2 of 4

DIME Test ID: 2019-10-25-22-2
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: 12/04/2019
Date Tested: 12/04/2019
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:
Number of tests 1
What is the unit of measurement for theoretical density? US Units
Mass Determination Air
Specific Gravity for Sample 1 2.624
Theoretical maximum density at 25°C (77°F) no data

Test 3 of 4

DIME Test ID: 2019-10-25-22-3
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: 12/04/2019
Date Tested: 12/04/2019
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:
What temperature unit is used? Fahrenheit
Test procedure used? Method A
Mass of HMA Sample prior to ignition no data
Corrected Asphalt Binder Content 4.87 %
Mass Loss no data
Correction Factor (Percent by mass of HMA Specimen) no data
Moisture Content no data
Temperature Compensation Factor no data
Test Temperature no data

Test 4 of 4

DIME Test ID: 2019-10-25-22-4
Test Method: AASHTO T30-15: Standard Method of Test for Mechanical Analysis of Extracted Aggregate (Mechanical Analysis)
Verified Date: 12/04/2019
Date Tested: 12/04/2019
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:
Cumulative percent passing the 2 in. sieve no data
Cumulative percent passing the 1 1/2 in. sieve 100 %
Cumulative percent passing the 1 in. sieve 100 %
Cumulative percent passing the 3/4 in. sieve 100 %
Cumulative percent passing the 1/2 in. sieve 100 %
Cumulative percent passing the 3/8 in. sieve 99.9 %
Cumulative percent passing the 1/4 in. sieve 83.2 %
Cumulative percent passing the #4 sieve 83.2 %
Cumulative percent passing the #8 sieve 61.2 %
Cumulative percent passing the #16 sieve 44.4 %
Cumulative percent passing the #30 sieve 33.6 %
Cumulative percent passing the #50 sieve 23.9 %
Cumulative percent passing the #100 sieve 15.9 %
Cumulative percent passing the #200 sieve 11 %