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Sample Record for 2021-04-01-40

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

Project Information

Project ID: 214426 DEA: 030A5704 EFIS: 0300020593 QA Service Level: 1
DIST-CO-RTE-PM: 03-YUB-20-13.3/R18.2
Work Description: Browns Valley Rehab: CONSTRUCT BRIDGE, REALIGN CURVE, WIDEN SHOULDERS AND CULVERT WORK.
Location Description: YUBA COUNTY FROM MARYSVILLE ROAD TO THE YUBA RIVER BRIDGE
Contractor Name: A. TEICHERT & SON, INC. DBA TEICHERT CONSTRUCTION
Contractor Address: 400 Sunrise Ave, Suite 300, Roseville, CA 95661
Resident Engineer: Garrett Griffith Structure Rep.: Matt Crete

Sample Information

DIME Sample ID: 2021-04-01-40
TL Number from the TL Form: C706329
Sample Submitted By Organization: CT D03 - North Region Materials Lab
Sample Organization Contact: (530) 741-4238
Type of Sample: Verification
Type of Material: Reclaimed Asphalt Pavement
Sample Taken Date: 04/01/2021
Date that the sample was received by the laboratory/organization performing the testing: 04/01/2021
The quantity of what the sample constitutes: JMF Verification
A brief description of the sample: RAP minus 1/2"
From where was the sample collected: Manufacturer
Laboratory sample identification: JMF21-020C
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Teichert - Hallwood Plant

Material Information

RAP Source: Teichert Hallwood RAP Bin 1
Aggregate Size:
Aggregate Source:
RAP Stockpile: Static
Stockpile Size (tons): Unknown

Test Results

Test 1 of 3

DIME Test ID: 2021-04-01-40-1
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: 06/10/2021
Date Tested: 04/07/2021
Submitted By Organization: CT D03 - North Region Materials Lab
Organization Address: 5330 Arboga Rd,
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: JMF21-020C. Mario Munoz
Test Result Compliance: complies
Additional Comments When Verified: JMF21-020C
Asphalt Binder Content 4.55 %
Correction Factor (Percent by mass of HMA Specimen) no data

Test 2 of 3

DIME Test ID: 2021-04-01-40-2
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: 06/10/2021
Date Tested: 04/06/2021
Submitted By Organization: CT D03 - North Region Materials Lab
Organization Address: 5330 Arboga Rd,
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: JMF21-020C.
Test Result Compliance: not applicable
Additional Comments When Verified: JMF21-020C
Number of tests 1
Mass Determination Air
Method Performed no data
Mass of container filled with water 7405.2 grams
Mass of oven-dry sample in air for Sample 1 1692.0 grams
Mass of container filled with the sample and water for Sample 1 8453.4 grams
Temperature of Water 76 °F
Specific Gravity for Sample 1 2.628

Test 3 of 3

DIME Test ID: 2021-04-01-40-3
Test Method: AASHTO T30-19: Standard Method of Test for Mechanical Analysis of Extracted Aggregate (Mechanical Analysis)
Verified Date: 06/10/2021
Date Tested: 04/07/2021
Submitted By Organization: CT D03 - North Region Materials Lab
Organization Address: 5330 Arboga Rd,
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: JMF21-020C.
Test Result Compliance: not applicable
Additional Comments When Verified: JMF21-020C
Does this test use 1/4 sieve? 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 96 %
Cumulative percent passing the 3/8 in. sieve 85 %
Cumulative percent passing the #4 sieve 58 %
Cumulative percent passing the #8 sieve 40 %
Cumulative percent passing the #16 sieve 30 %
Cumulative percent passing the #30 sieve 23 %
Cumulative percent passing the #50 sieve 16 %
Cumulative percent passing the #100 sieve 12 %
Cumulative percent passing the #200 sieve 9 %

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.