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Sample Record for 2020-12-15-19

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: 2020-12-15-19
TL Number from the TL Form:
Sample Submitted By Organization: CT D05 - San Luis Obispo District Laboratory
Sample Organization Contact: (559) 230-3109
Type of Sample: Verification
Type of Material: Hot Mix Asphalt
Sample Taken Date: 12/15/2020
Date that the sample was received by the laboratory/organization performing the testing: 01/06/2021
The quantity of what the sample constitutes: One JMFPP Verification
A brief description of the sample: Boxes of HMA-A
From where was the sample collected: Manufacturer
Laboratory sample identification: D5 21-J-001
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Syar Todd Batch

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number:
Sublot number:
HMA Mix Number:
Test results on following page(s): 6

Test Results

Test 1 of 6

DIME Test ID: 2020-12-15-19-1
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)
Verified Date: 01/22/2021
Date Tested: 01/21/2021
Submitted By Organization: CT D05 - San Luis Obispo District Laboratory
Organization Address: 50 Higuera Street,
Organization City: San Luis Obispo
Organization State: CA
Organization Zipcode: 93401
Organization Email: glenn.johnson@dot.ca.gov
Organization Phone: (805) 549-3158
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
What temperature unit is used? Fahrenheit
Test procedure used? Method A
Mass of the specimen basket assembly no data
Mass of the specimen and specimen basket assembly prior to ignition no data
Mass of HMA Sample prior to ignition 2111.5 g
Corrected Asphalt Binder Content 4.38 %
Mass Loss no data
Mass of aggregate remaining after ignition 1997.4 g
Correction Factor (Percent by mass of HMA Specimen) 1.02 %
Moisture Content no data0 %
Temperature Compensation Factor no data
Test Temperature 1000 F

Test 2 of 6

DIME Test ID: 2020-12-15-19-2
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: 01/22/2021
Date Tested: 01/18/2021
Submitted By Organization: CT D05 - San Luis Obispo District Laboratory
Organization Address: 50 Higuera Street,
Organization City: San Luis Obispo
Organization State: CA
Organization Zipcode: 93401
Organization Email: glenn.johnson@dot.ca.gov
Organization Phone: (805) 549-3158
General Comments for this Test:
Test Result Compliance: not applicable
Additional Comments When Verified:
Bulk Specific Gravity 2.363
Bulk Specific Gravity 2 2.357
Bulk Specific Gravity 3 2.363
Average Bulk Specific Gravity 2.361

Test 3 of 6

DIME Test ID: 2020-12-15-19-3
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: 01/22/2021
Date Tested: 01/19/2021
Submitted By Organization: CT D05 - San Luis Obispo District Laboratory
Organization Address: 50 Higuera Street,
Organization City: San Luis Obispo
Organization State: CA
Organization Zipcode: 93401
Organization Email: glenn.johnson@dot.ca.gov
Organization Phone: (805) 549-3158
General Comments for this Test:
Test Result Compliance: not applicable
Additional Comments When Verified:
Number of tests 1
What is the unit of measurement for theoretical density? US Units
Mass Determination Air
Specific Gravity for Sample 1 2.514
Theoretical maximum density at 25°C (77°F) no data

Test 4 of 6

DIME Test ID: 2020-12-15-19-4
Test Method: AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)
Verified Date: 01/22/2021
Date Tested: 01/20/2021
Submitted By Organization: CT D05 - San Luis Obispo District Laboratory
Organization Address: 50 Higuera Street,
Organization City: San Luis Obispo
Organization State: CA
Organization Zipcode: 93401
Organization Email: glenn.johnson@dot.ca.gov
Organization Phone: (805) 549-3158
General Comments for this Test: 6.01, 6.25, 6.01
Test Result Compliance: does not comply
Additional Comments When Verified:
Percent Air Voids 6 %
Percent Air Voids 2 6.3 %
Percent Air Voids 3 6 %
Average Percent Air Voids 6.1 %

Test 5 of 6

DIME Test ID: 2020-12-15-19-5
Test Method: AASHTO T283-14: Standard Method of Test for Resistance of Compacted Asphalt Mixtures to Moisture-Induced Damage (Moisture Content)
Verified Date: 01/22/2021
Date Tested: 01/15/2021
Submitted By Organization: CT D05 - San Luis Obispo District Laboratory
Organization Address: 50 Higuera Street,
Organization City: San Luis Obispo
Organization State: CA
Organization Zipcode: 93401
Organization Email: glenn.johnson@dot.ca.gov
Organization Phone: (805) 549-3158
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Unit system used? SI Units
Average Dry Tensile Strength 152 psi
Average Wet Tensile Strength 119 psi
Tensile Strength Ratio 78.3

Test 6 of 6

DIME Test ID: 2020-12-15-19-6
Test Method: AASHTO T324-14: Standard Method of Test for Hamburg Wheel-Track Testing of Compacted Asphalt Mixtures (Hamburg Wheel Track)
Verified Date: 01/22/2021
Date Tested: 01/11/2021
Submitted By Organization: CT D05 - San Luis Obispo District Laboratory
Organization Address: 50 Higuera Street,
Organization City: San Luis Obispo
Organization State: CA
Organization Zipcode: 93401
Organization Email: glenn.johnson@dot.ca.gov
Organization Phone: (805) 549-3158
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Specified minimum number of passes at ½” rut depth, or number of passes at ½” rut depth if applicable (Wheel A) 15000
Specified minimum number of passes at ½” rut depth, or number of passes at ½” rut depth if applicable (Wheel B) 15000
Impression at specified number of passes, or specified maximum impression if applicable (Wheel A) 4.1 mm
Impression at specified number of passes, or specified maximum impression if applicable (Wheel B) 2.49 mm
Stripping Inflection Point (Wheel A) >15000
Stripping Inflection Point (Wheel B) >15000