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Sample Record for 2020-03-20-12

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

Project Information

Project ID: 214253 DEA: 051J0404 EFIS: 0517000054 QA Service Level: 1
DIST-CO-RTE-PM: 05-SLO,MON-46,101-49.5,R3.1/R5.2
Work Description: INSTALL ELECTRIC VEHICLE CHARGING STATIONS.
Location Description: SAN LUIS OBISPO AND MONTEREY COUNTIES ON ROUTE 46 AT SHANDON SAFETY ROADSIDE REST AREA AND ON ROUTE 101 AT CAMP ROBERTS SAFETY ROADSIDE REST AREAS
Contractor Name: Hoseley Corp
Contractor Address: 1485 Bayshore Boulevard, #193, San Francisco, CA 94 124
Resident Engineer: Amy Norris Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-03-20-12
TL Number from the TL Form:
Sample Submitted By Organization: CalPortland
Sample Organization Contact: (805) 345-3472
Type of Sample: Quality Control
Type of Material: Reclaimed Asphalt Pavement
Sample Taken Date: 03/20/2020
Date that the sample was received by the laboratory/organization performing the testing: 03/20/2020
The quantity of what the sample constitutes: 4 Bags
A brief description of the sample: RAP - Chem 2
From where was the sample collected: Source
Laboratory sample identification: 1327661093
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CalPortland Paso Robles

Material Information

RAP Source: CalPortland Paso Robles
Aggregate Size: 1/2
Aggregate Source: Unknown
RAP Stockpile: Static
Stockpile Size (tons): Unknown
Reclaimed Asphalt Pavement Mix Number:

Test Results

Test 1 of 3

DIME Test ID: 2020-03-20-12-1
Test Method: AASHTO T30-19: Standard Method of Test for Mechanical Analysis of Extracted Aggregate (Mechanical Analysis)
Submitted By Organization: CalPortland
Organization Address: 1625 East Donovan Road,
Organization City: Santa Maria
Organization State: CA
Organization Zipcode: 93454
Organization Email: pimhoff@calportland.com
Organization Phone: (805) 345-3472
Data has not been verified.

Test 2 of 3

DIME Test ID: 2020-03-20-12-2
Test Method: AASHTO T164-14: Standard Method of Test for Quantitative Extraction of Asphalt Binder from Hot Mix Asphalt (HMA) (Asphalt Binder Content)
Submitted By Organization: CalPortland
Organization Address: 1625 East Donovan Road,
Organization City: Santa Maria
Organization State: CA
Organization Zipcode: 93454
Organization Email: pimhoff@calportland.com
Organization Phone: (805) 345-3472
Data has not been verified.

Test 3 of 3

DIME Test ID: 2020-03-20-12-3
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: CalPortland
Organization Address: 1625 East Donovan Road,
Organization City: Santa Maria
Organization State: CA
Organization Zipcode: 93454
Organization Email: pimhoff@calportland.com
Organization Phone: (805) 345-3472
Data has not been verified.