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Sample Record for 2021-03-17-26

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: 2021-03-17-26
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: 03/17/2021
Date that the sample was received by the laboratory/organization performing the testing: 03/17/2021
The quantity of what the sample constitutes: 12 boxes
A brief description of the sample: 1/2" Type A HMA (15% RAP and WMA)
From where was the sample collected: Manufacturer
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 4

DIME Test ID: 2021-03-17-26-1
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: 04/07/2021
Date Tested: 03/29/2021
Submitted By Organization: CT HQ - Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Boulevard,
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: complies
Additional Comments When Verified:
Asphalt Binder Content 6.29 %
Correction Factor (Percent by mass of HMA Specimen) 1.99 %

Test 2 of 4

DIME Test ID: 2021-03-17-26-3
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: 04/07/2021
Date Tested: 03/29/2021
Submitted By Organization: CT HQ - Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Boulevard,
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:
Bulk Specific Gravity 2.303
Bulk Specific Gravity 2 2.295
Bulk Specific Gravity 3 2.291
Average Bulk Specific Gravity 2.296

Test 3 of 4

DIME Test ID: 2021-03-17-26-4
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: 04/07/2021
Date Tested: 03/29/2021
Submitted By Organization: CT HQ - Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Boulevard,
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:
Number of tests 2
Mass Determination Water
Specific Gravity for Sample 1 2.434
Specific Gravity for Sample 2 2.430
Average Specific Gravity 2.432
Theoretical maximum density at 25°C (77°F) no data

Test 4 of 4

DIME Test ID: 2021-03-17-26-5
Test Method: AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)
Verified Date: 04/07/2021
Date Tested: 03/29/2021
Submitted By Organization: CT HQ - Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Boulevard,
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: does not comply
Additional Comments When Verified:
Percent Air Voids 5.3 %
Percent Air Voids 2 5.6
Percent Air Voids 3 5.8
Percent Air Voids Average 5.6

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
2021-03-17-26-2AASHTO T329-13: Standard Method of Test for Moisture Content of Asphalt Mixtures by Oven Method (Moisture Content)03/29/202103/29/2021Clinton EdmistonCT HQ - Hot Mix Asphalt LaboratoryFrank Chavez Jr
2021-03-17-26-6AASHTO T283-14: Standard Method of Test for Resistance of Compacted Asphalt Mixtures to Moisture-Induced Damage (Moisture Content)03/29/202103/29/2021Clinton EdmistonCT HQ - Hot Mix Asphalt LaboratoryFrank Chavez Jr
2021-03-17-26-7AASHTO T324-14: Standard Method of Test for Hamburg Wheel-Track Testing of Compacted Asphalt Mixtures (Hamburg Wheel Track)03/29/202103/29/2021Clinton EdmistonCT HQ - Hot Mix Asphalt LaboratoryFrank Chavez Jr