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: 2021-03-10-5

TL Number from the TL Form:

Sample Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory

Sample Organization Contact: (916) 227-7302

Type of Sample: Verification

Type of Material: Reclaimed Asphalt Pavement

Sample Taken Date: 03/10/2021

Date that the sample was received by the laboratory/organization performing the testing: 03/10/2021

The quantity of what the sample constitutes: 2 bags

A brief description of the sample: RAP

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

RAP Source: Stockpile

Aggregate Size:

Aggregate Source:

RAP Stockpile:

Stockpile Size (tons):

Reclaimed Asphalt Pavement Mix Number:

Test Results

Test 1 of 2

DIME Test ID: 2021-03-10-5-1

Test Method: AASHTO T30-19: Standard Method of Test for Mechanical Analysis of Extracted Aggregate (Mechanical Analysis)

Verified Date: 03/30/2021

Date Tested: 03/19/2021

Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory

Organization Address: 5900 Folsom Boulevard, Room 225,

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:

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	100 %
Cumulative percent passing the 3/8 in. sieve	99.2 %
Cumulative percent passing the #4 sieve	76.6 %
Cumulative percent passing the #8 sieve	53 %
Cumulative percent passing the #16 sieve	37.2 %
Cumulative percent passing the #30 sieve	28.2 %
Cumulative percent passing the #50 sieve	20.5 %
Cumulative percent passing the #100 sieve	12.8 %
Cumulative percent passing the #200 sieve	9.0 %

Test 2 of 2

DIME Test ID: 2021-03-10-5-2

Test Method: AASHTO T209-12: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)