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Sample Record for 2019-11-19-13

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: 2019-11-19-13
TL Number from the TL Form: C911407
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: 11/19/2019
Date that the sample was received by the laboratory/organization performing the testing: 11/22/2019
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: 19-277
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: SYAR Lake Herman Drum

Material Information

RAP Source: Lake Herman Quarry
Aggregate Size: 0.375 in Minus
Aggregate Source: Unknown
RAP Stockpile: Static
Stockpile Size (tons): 2500
Reclaimed Asphalt Pavement Mix Number:
Test results on following page(s): 4

Test Results

Test 1 of 4

DIME Test ID: 2019-11-19-13-1
Test Method: AASHTO T30-15: Standard Method of Test for Mechanical Analysis of Extracted Aggregate (Mechanical Analysis)
Verified Date: 12/11/2019
Date Tested: 12/11/2019
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 99.8 %
Cumulative percent passing the 1/4 in. sieve 79.6 %
Cumulative percent passing the #4 sieve 79.6 %
Cumulative percent passing the #8 sieve 56.8 %
Cumulative percent passing the #16 sieve 40.8 %
Cumulative percent passing the #30 sieve 30.7 %
Cumulative percent passing the #50 sieve 21.8 %
Cumulative percent passing the #100 sieve 14.3 %
Cumulative percent passing the #200 sieve 10.1 %

Test 2 of 4

DIME Test ID: 2019-11-19-13-2
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)
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 12/11/2019.
Reason: corrected

Test 3 of 4

DIME Test ID: 2019-11-19-13-3
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: 12/11/2019
Date Tested: 12/11/2019
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 2.480
Theoretical maximum density at 25°C (77°F) no data

Test 4 of 4

DIME Test ID: 2019-11-19-13-4
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: 12/11/2019
Date Tested: 12/11/2019
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 6.19 %
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