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Sample Record for 2020-11-18-14

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

Project Information

Project ID: 99999 DEA: 0322222 QA Service Level:
DIST-CO-RTE-PM: 03-SAC,OMG-888,99,80-0.6-0.6
Work Description: THIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Location Description: THIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Michael Maksimovich Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-11-18-14
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Materials Management Branch Field Office
Sample Organization Contact: (562) 500-5861
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 11/18/2020
Date that the sample was received by the laboratory/organization performing the testing: 11/20/2020
The quantity of what the sample constitutes: 20 lbs
A brief description of the sample: Folsom Blvd HMA
From where was the sample collected: Job Site
Laboratory sample identification: 99999-HMA1
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: All American Asphalt

Material Information

HMA Type: RHMA-G
HMA Grading: 3/8 inch
Lot number: 12
Sublot number: 1
HMA Mix Number:
Test results on following page(s): 5

Test Results

Test 1 of 5

DIME Test ID: 2020-11-18-14-1
Test Method: AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)
Verified Date: 05/05/2023
Date Tested: 05/12/2023
Submitted By Organization: CT HQ - Sacramento Materials Management Branch Field Office
Organization Address: 5900 Folsom Boulevard, MS 5,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: brett.soldano@dot.ca.gov
Organization Phone: (562) 500-5861
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Percent Air Voids 0.3 %

Test 2 of 5

DIME Test ID: 2020-11-18-14-2
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: CT HQ - Sacramento Materials Management Branch Field Office
Organization Address: 5900 Folsom Boulevard, MS 5,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: brett.soldano@dot.ca.gov
Organization Phone: (562) 500-5861
Data has not been verified.

Test 3 of 5

DIME Test ID: 2020-11-18-14-3
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: CT HQ - Sacramento Materials Management Branch Field Office
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: brett.soldano@dot.ca.gov
Organization Phone: (562) 500-5861
This test has been superseded on 06/15/2022. The corrected test ID is: 2020-11-18-14-4
Reason: retested

Test 4 of 5

DIME Test ID: 2020-11-18-14-4
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: CT HQ - Sacramento Materials Management Branch Field Office
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: brett.soldano@dot.ca.gov
Organization Phone: (562) 500-5861
This test has been superseded on 06/15/2022. The corrected test ID is: 2020-11-18-14-5
Reason: retested

Test 5 of 5

DIME Test ID: 2020-11-18-14-5
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: 06/15/2022
Date Tested: 02/03/2021
Submitted By Organization: CT HQ - Sacramento Materials Management Branch Field Office
Organization Address: 5900 Folsom Boulevard, MS 5,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: brett.soldano@dot.ca.gov
Organization Phone: (562) 500-5861
General Comments for this Test:
The test was superseded from test ID: 2020-11-18-14-4
Test Result Compliance:
Additional Comments When Verified:
Number of tests 2
What is the unit of measurement for theoretical density? US Units
Mass Determination Air
Method Performed no data
Mass of container filled with water 12.0 grams
Mass of oven-dry sample in air for Sample 1 14.0 grams
Mass of container filled with the sample and water for Sample 1 15.2 grams
Mass of container filled with water 12.5
Mass of oven-dry sample in air for Sample 2 15.2 grams
Mass of container filled with the sample and water for Sample 2 4.7 grams
Temperature of Water 40 °F
Specific Gravity for Sample 1 1.302
Specific Gravity for Sample 2 0.659
Average Specific Gravity 0.981
Theoretical maximum density at 25°C (77°F) no data