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Sample Record for 2019-04-05-18

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

Project Information

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

Sample Information

DIME Sample ID: 2019-04-05-18
TL Number from the TL Form: C772606
Sample Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Verification
Type of Material: Reclaimed Asphalt Pavement
Sample Taken Date: 04/05/2019
Date that the sample was received by the laboratory/organization performing the testing: 04/10/2019
The quantity of what the sample constitutes: Aggregate for JMF Verification
A brief description of the sample: 3/8" RAP
From where was the sample collected: Manufacturer
Laboratory sample identification: 19-J-003
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Granite, Arvin

Material Information

RAP Source: Manufacturer
Aggregate Size: Unknown
Aggregate Source: Unknown
RAP Stockpile:
Stockpile Size (tons): Unknown
Reclaimed Asphalt Pavement Mix Number:

Test Results

Test 1 of 4

DIME Test ID: 2019-04-05-18-1
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 HQ - Sacramento Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (916) 227-7302
This test has been superseded on 12/16/2019.
Reason: corrected

Test 2 of 4

DIME Test ID: 2019-04-05-18-2
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: 12/13/2019
Date Tested: 04/10/2019
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 7422.0 grams
Mass of oven-dry sample in air for Sample 1 1497.0 grams
Mass of container filled with the sample and water for Sample 1 8336.0 grams
Temperature of Water 77 °F
Specific Gravity for Sample 1 2.568
Theoretical maximum density at 25°C (77°F) no data

Test 3 of 4

DIME Test ID: 2019-04-05-18-3
Test Method: AASHTO T30-15: Standard Method of Test for Mechanical Analysis of Extracted Aggregate (Mechanical Analysis)
Verified Date: 12/13/2019
Date Tested: 04/10/2019
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:
Total mass of material in the sample 1612.9 grams
Cumulative mass retained on the 2 in. sieve no data
Cumulative mass retained on the 1 1/2 in. sieve 0 grams
Cumulative mass retained on the 1 in. sieve 0 grams
Cumulative mass retained on the 3/4 in. sieve 0 grams
Cumulative mass retained on the 1/2 in. sieve 0 grams
Cumulative mass retained on the 3/8 in. sieve 10.6 grams
Cumulative mass retained on the 1/4 in. sieve no data
Cumulative mass retained on the #4 sieve 386.8 grams
Cumulative mass retained on the #8 sieve 678.6 grams
Cumulative mass retained on the #16 sieve 889.3 grams
Cumulative mass retained on the #30 sieve 1048.8 grams
Cumulative mass retained on the #50 sieve 1201.3 grams
Cumulative mass retained on the #100 sieve 1324.3 grams
Cumulative mass retained on the #200 sieve 1433.4 grams
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 99.3 %
Cumulative percent passing the 1/4 in. sieve no data
Cumulative percent passing the #4 sieve 76 %
Cumulative percent passing the #8 sieve 57.9 %
Cumulative percent passing the #16 sieve 44.9 %
Cumulative percent passing the #30 sieve 35 %
Cumulative percent passing the #50 sieve 25.5 %
Cumulative percent passing the #100 sieve 17.9 %
Cumulative percent passing the #200 sieve 11.13 %

Test 4 of 4

DIME Test ID: 2019-04-05-18-4
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: 12/16/2019
Date Tested: 04/10/2019
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: Taken from 3512
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 4.47 %
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