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Sample Record for 2021-02-25-12

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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: 2021-02-25-12
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Hot Mix Asphalt Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Verification
Type of Material: Hot Mix Asphalt
Sample Taken Date: 02/25/2021
Date that the sample was received by the laboratory/organization performing the testing: 02/25/2021
The quantity of what the sample constitutes: 16 boxes
A brief description of the sample: 1/2" Type A HMA - WMA - PG 64-16
From where was the sample collected: Supplier
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Syar Industries Inc

Material Information

HMA Type: Type A HMA
HMA Grading: 1/2 inch
Lot number:
Sublot number:

Test Results

Test 1 of 5

DIME Test ID: 2021-02-25-12-1
Test Method: AASHTO T308-10: Standard Method of Test for Determining the Asphalt Binder Content of Hot Mix Asphalt (HMA) by the Ignition Method (Asphalt Binder Content)
Verified Date: 03/15/2021
Date Tested: 03/08/2021
Submitted By Organization: CT HQ - Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (916) 227-7302
General Comments for this Test:
Additional Comments When Verified:
Asphalt Binder Content 5.08 %
Correction Factor (Percent by mass of HMA Specimen) 1.11 %

Test 2 of 5

DIME Test ID: 2021-02-25-12-2
Test Method: AASHTO T329-13: Standard Method of Test for Moisture Content of Asphalt Mixtures by Oven Method (Moisture Content)
Verified Date: 03/10/2021
Date Tested: 03/08/2021
Submitted By Organization: CT HQ - Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (916) 227-7302
General Comments for this Test:
Additional Comments When Verified:
Moisture Content 0.05 %
Percent Change 0.05 %

Test 3 of 5

DIME Test ID: 2021-02-25-12-3
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: 03/15/2021
Date Tested: 03/08/2021
Submitted By Organization: CT HQ - Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (916) 227-7302
General Comments for this Test:
Additional Comments When Verified:
Bulk Specific Gravity 2.384
Bulk Specific Gravity 2 2.391
Bulk Specific Gravity 3 2.381
Average Bulk Specific Gravity 2.385

Test 4 of 5

DIME Test ID: 2021-02-25-12-4
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: 03/10/2021
Date Tested: 03/08/2021
Submitted By Organization: CT HQ - Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (916) 227-7302
General Comments for this Test:
Additional Comments When Verified:
Number of tests 2
Mass Determination Water
Specific Gravity for Sample 1 2.490
Specific Gravity for Sample 2 2.492
Average Specific Gravity 2.491

Test 5 of 5

DIME Test ID: 2021-02-25-12-5
Test Method: AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)
Verified Date: 03/15/2021
Date Tested: 03/08/2021
Submitted By Organization: CT HQ - Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (916) 227-7302
General Comments for this Test:
Additional Comments When Verified:
Percent Air Voids 4.3 %
Percent Air Voids 2 4
Percent Air Voids 3 4.4
Percent Air Voids Average 4.2

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
2021-02-25-12-6AASHTO T283-14: Standard Method of Test for Resistance of Compacted Asphalt Mixtures to Moisture-Induced Damage (Moisture Content)03/08/202103/08/2021Clinton EdmistonCT HQ - Hot Mix Asphalt LaboratoryFrank Chavez Jr
2021-02-25-12-7AASHTO T324-14: Standard Method of Test for Hamburg Wheel-Track Testing of Compacted Asphalt Mixtures (Hamburg Wheel Track)03/08/202103/08/2021Clinton EdmistonCT HQ - Hot Mix Asphalt LaboratoryFrank Chavez Jr