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Sample Record for 2020-05-15-35

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: 2020-05-15-35
TL Number from the TL Form:
Sample Submitted By Organization: Jaxon Enterprises - Deer Creek Rock & Asphalt
Sample Organization Contact: 5597930903
Type of Sample: Preliminary
Type of Material: Hot Mix Asphalt
Sample Taken Date: 05/15/2020
Date that the sample was received by the laboratory/organization performing the testing: 05/15/2020
The quantity of what the sample constitutes: 32 boxes
A brief description of the sample: 3/4" Type A HMA 15% RAP
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Deer Creek Rock and Asphalt

Material Information

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

Test Results

Test 1 of 4

DIME Test ID: 2020-05-15-35-1
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)
Submitted By Organization: Jaxon Enterprises - Deer Creek Rock & Asphalt
Organization Address: 27671 Avenue 120,
Organization City: Porterville
Organization State: CA
Organization Zipcode: 93257
Organization Email: ahasegawa@jaxonaggregates.com
Organization Phone: 5597930903
Data has not been verified.

Test 2 of 4

DIME Test ID: 2020-05-15-35-2
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: Jaxon Enterprises - Deer Creek Rock & Asphalt
Organization Address: 27671 Avenue 120,
Organization City: Porterville
Organization State: CA
Organization Zipcode: 93257
Organization Email: ahasegawa@jaxonaggregates.com
Organization Phone: 5597930903
Data has not been verified.

Test 3 of 4

DIME Test ID: 2020-05-15-35-3
Test Method: AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)
Submitted By Organization: Jaxon Enterprises - Deer Creek Rock & Asphalt
Organization Address: 27671 Avenue 120,
Organization City: Porterville
Organization State: CA
Organization Zipcode: 93257
Organization Email: ahasegawa@jaxonaggregates.com
Organization Phone: 5597930903
Data has not been verified.

Test 4 of 4

DIME Test ID: 2020-05-15-35-4
Test Method: AASHTO T308-10: Standard Method of Test for Determining the Asphalt Binder Content of Hot Mix Asphalt (HMA) by the Ignition Method (Asphalt Binder Content)
Submitted By Organization: Jaxon Enterprises - Deer Creek Rock & Asphalt
Organization Address: 27671 Avenue 120,
Organization City: Porterville
Organization State: CA
Organization Zipcode: 93257
Organization Email: ahasegawa@jaxonaggregates.com
Organization Phone: 5597930903
Data has not been verified.

Tests Assigned to this Sample

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