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Sample Record for 2020-04-28-18

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

Project Information

Project ID: 214589 DEA: 020J1604 QA Service Level: 1
DIST-CO-RTE-PM: 02-PLU-284-0.0/8.3
Work Description: PLACE HMA (TYPE A), PRECOATED AGGREGATE (SEAL COAT), HMA (LEVELING).
Location Description: PLUMAS COUNTY NEAR CHILCOOT FROM ROUTE 70 TO 1 MILE NORTH OF LITTLE LAST CHANCE CREEK BRIDGE NUMBER 09-0072
Contractor Name: HAT CREEK CONSTRUCTION & MATERIALS, INC.
Contractor Address: 24339 STATE HIGHWAY 89 N.;, BURNEY CA 96013
Resident Engineer: Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-04-28-18
TL Number from the TL Form: 733185
Sample Submitted By Organization: CT D02 - North Region Materials Lab
Sample Organization Contact: (530) 225-3194
Type of Sample: Verification
Type of Material: Hot Mix Asphalt
Sample Taken Date: 04/28/2020
Date that the sample was received by the laboratory/organization performing the testing: 04/29/2020
The quantity of what the sample constitutes: JMF Verification
A brief description of the sample: 3/4-inch Type A HMA (eq. PG 64-22), 23.0 RAP, 1.0 Lime
From where was the sample collected: Manufacturer
Laboratory sample identification: D78414
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Ward Lake Plant, Litchfield, CA

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number: Unknown
Sublot number: Unknown

Test Results

Test 1 of 3

DIME Test ID: 2020-04-28-18-2
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: 06/19/2020
Date Tested: 04/29/2020
Submitted By Organization: CT D02 - North Region Materials Lab
Organization Address: 1657 Riverside Dr,MS-83
Organization City: Redding
Organization State: CA
Organization Zipcode: 96001
Organization Email: ward.jenkins@dot.ca.gov
Organization Phone: (530) 225-3194
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Number of tests 1
Mass Determination Air
Method Performed Mechanical Agitation - Method A
Mass of container filled with water 7338.0 grams
Mass of oven-dry sample in air for Sample 1 2528.0 grams
Mass of container filled with the sample and water for Sample 1 8820.0 grams
Temperature of Water 77 °F
Specific Gravity for Sample 1 2.417

Test 2 of 3

DIME Test ID: 2020-04-28-18-4
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: 06/19/2020
Date Tested: 05/01/2020
Submitted By Organization: CT D02 - North Region Materials Lab
Organization Address: 1657 Riverside Dr,MS-83
Organization City: Redding
Organization State: CA
Organization Zipcode: 96001
Organization Email: ward.jenkins@dot.ca.gov
Organization Phone: (530) 225-3194
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Bulk Specific Gravity 2.363
Bulk Specific Gravity 2 2.360
Bulk Specific Gravity 3 2.364
Average Bulk Specific Gravity 2.362

Test 3 of 3

DIME Test ID: 2020-04-28-18-5
Test Method: AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)
Verified Date: 06/19/2020
Date Tested: 05/01/2020
Submitted By Organization: CT D02 - North Region Materials Lab
Organization Address: 1657 Riverside Dr,MS-83
Organization City: Redding
Organization State: CA
Organization Zipcode: 96001
Organization Email: ward.jenkins@dot.ca.gov
Organization Phone: (530) 225-3194
General Comments for this Test:
Test Result Compliance: does not comply
Additional Comments When Verified:
Percent Air Voids 2.2 %
Percent Air Voids 2 2.4
Percent Air Voids 3 2.2
Percent Air Voids Average 2.3

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.