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Sample Record for 2021-03-15-17

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 214492 DEA: 033F5404 EFIS: 0313000136 QA Service Level: 1
DIST-CO-RTE-PM: 03-SAC-99,160-4.5/5.7,R44.5
Work Description: FURNISH PRECAST PRESTRESSED CONCRETE SLAB & PLACE STRUCTURAL CONCRETE.
Location Description: SACRAMENTO COUNTY NEAR GALT ON ROUTE 99 FROM NORTH OF MINGO ROAD TO SOUTH OF ARNO ROAD OVERCROSSING AND IN SACRAMENTO ON ROUTE 160 AT AMERICAN RIVER BRIDGE
Contractor Name: BROSAMER & WALL, INC.
Contractor Address: 5000 Marsh Drive, Suite 300, Conord, CA 94520
Resident Engineer: Mohssen Ghassemi Structure Rep.: Chris Quon

Sample Information

DIME Sample ID: 2021-03-15-17
TL Number from the TL Form: C849136
Sample Submitted By Organization: CT D03 - Olivehurst Northern Regional Laboratory
Sample Organization Contact: (530) 741-4238
Type of Sample: Verification
Type of Material: Reclaimed Asphalt Pavement
Sample Taken Date: 03/15/2021
Date that the sample was received by the laboratory/organization performing the testing: 03/15/2021
The quantity of what the sample constitutes: JMF Verification
A brief description of the sample: 3/8-inch RAP
From where was the sample collected: Manufacturer
Laboratory sample identification: JMF21-012
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Teichert Perkins Batch Plant

Material Information

RAP Source: Techert Perkins 1111, RAP Bin 1
Aggregate Size:
Aggregate Source:
RAP Stockpile: Static
Stockpile Size (tons): Unknown
Reclaimed Asphalt Pavement Mix Number:
Test results on following page(s): 3

Test Results

Test 1 of 3

DIME Test ID: 2021-03-15-17-1
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: 04/30/2021
Date Tested: 02/04/2021
Submitted By Organization: CT D03 - Olivehurst Northern Regional Laboratory
Organization Address: 5330 Arboga Road,
Organization City: Olivehurst
Organization State: CA
Organization Zipcode: 95961
Organization Email: jeff.herbert@dot.ca.gov
Organization Phone: (530) 741-4238
General Comments for this Test: JMF21-012. Teichert Personnel
Test Result Compliance: not applicable
Additional Comments When Verified: JMF21-012.
What temperature unit is used? Fahrenheit
Test procedure used? no data
Mass of HMA Sample prior to ignition no data
Corrected Asphalt Binder Content 4.8 %
Mass Loss no data
Correction Factor (Percent by mass of HMA Specimen) no data
Moisture Content no data
Temperature Compensation Factor no data
Test Temperature no data

Test 2 of 3

DIME Test ID: 2021-03-15-17-2
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: 04/30/2021
Date Tested: 03/18/2021
Submitted By Organization: CT D03 - Olivehurst Northern Regional Laboratory
Organization Address: 5330 Arboga Road,
Organization City: Olivehurst
Organization State: CA
Organization Zipcode: 95961
Organization Email: jeff.herbert@dot.ca.gov
Organization Phone: (530) 741-4238
General Comments for this Test: JMF21-012.
Test Result Compliance: not applicable
Additional Comments When Verified: JMF21-012. Report only.
Number of tests 1
What is the unit of measurement for theoretical density? US Units
Mass Determination Air
Method Performed Mechanical Agitation - Method A
Mass of container filled with water 7346.5 grams
Mass of oven-dry sample in air for Sample 1 1877.1 grams
Mass of container filled with the sample and water for Sample 1 8491.8 grams
Temperature of Water 76 °F
Specific Gravity for Sample 1 2.565
Theoretical maximum density at 25°C (77°F) no data

Test 3 of 3

DIME Test ID: 2021-03-15-17-3
Test Method: AASHTO T30-19: Standard Method of Test for Mechanical Analysis of Extracted Aggregate (Mechanical Analysis)
Verified Date: 04/30/2021
Date Tested: 03/18/2021
Submitted By Organization: CT D03 - Olivehurst Northern Regional Laboratory
Organization Address: 5330 Arboga Road,
Organization City: Olivehurst
Organization State: CA
Organization Zipcode: 95961
Organization Email: jeff.herbert@dot.ca.gov
Organization Phone: (530) 741-4238
General Comments for this Test: JMF21-012.
Test Result Compliance: complies
Additional Comments When Verified: JMF21-012
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 97 %
Cumulative percent passing the 3/8 in. sieve 90 %
Cumulative percent passing the #4 sieve 63 %
Cumulative percent passing the #8 sieve 44 %
Cumulative percent passing the #16 sieve 33 %
Cumulative percent passing the #30 sieve 25 %
Cumulative percent passing the #50 sieve 18 %
Cumulative percent passing the #100 sieve 13 %
Cumulative percent passing the #200 sieve 9.5 %