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Sample Record for 2020-12-22-11

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: 2020-12-22-11
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: Reclaimed Asphalt Pavement
Sample Taken Date: 12/22/2020
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: Bag of RAP
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Syar Lake Herman

Material Information

RAP Source: Lake Herman Stockpile
Aggregate Size: Fine RAP
Aggregate Source:
RAP Stockpile:
Stockpile Size (tons):
Reclaimed Asphalt Pavement Mix Number:

Test Results

Test 1 of 3

DIME Test ID: 2020-12-22-11-1
Test Method: AASHTO T30-19: Standard Method of Test for Mechanical Analysis of Extracted Aggregate (Mechanical Analysis)
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: not applicable
Additional Comments When Verified:
Is an aggregate correction factor used? No
Cumulative percent passing the 2 in. sieve 100 %
Cumulative percent passing the 1 1/2 in. sieve 100 %
Cumulative percent passing the 1 in. sieve 100 %
Cumulative percent passing the 3/4 in. sieve 100 %
Cumulative percent passing the 1/2 in. sieve 99.7 %
Cumulative percent passing the 3/8 in. sieve 98.8 %
Cumulative percent passing the #4 sieve 75.8 %
Cumulative percent passing the #8 sieve 56.4 %
Cumulative percent passing the #16 sieve 37.2 %
Cumulative percent passing the #30 sieve 28.2 %
Cumulative percent passing the #50 sieve 20.8 %
Cumulative percent passing the #100 sieve 13.4 %
Cumulative percent passing the #200 sieve 9.3 %

Test 2 of 3

DIME Test ID: 2020-12-22-11-2
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: 01/13/2021
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 HMA Sample prior to ignition 1779.3 g
Corrected Asphalt Binder Content 4.25 %
Mass Loss no data
Correction Factor (Percent by mass of HMA Specimen) 3.41 %
Moisture Content 0.00 %
Temperature Compensation Factor no data
Test Temperature 1000 F

Test 3 of 3

DIME Test ID: 2020-12-22-11-3
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: 12/22/2020
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:
Number of tests 1
What is the unit of measurement for theoretical density? US Units
Mass Determination Air
Specific Gravity for Sample 1 2.537
Theoretical maximum density at 25°C (77°F) no data