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Sample Record for 2021-06-01-21

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: 2021-06-01-21
TL Number from the TL Form:
Sample Submitted By Organization: Jaxon Enterprises - Deer Creek Rock & Asphalt
Sample Organization Contact: 5597930903
Type of Sample: Quality Control
Type of Material: Reclaimed Asphalt Pavement
Sample Taken Date: 06/01/2021
Date that the sample was received by the laboratory/organization performing the testing: 06/01/2021
The quantity of what the sample constitutes: 6 abgs
A brief description of the sample: Deer Creek RAP
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Deer Creek Rock and Asphalt

Material Information

RAP Source: Tulare County
Aggregate Size:
Aggregate Source:
RAP Stockpile:
Stockpile Size (tons):

Test Results

Test 1 of 3

DIME Test ID: 2021-06-01-21-1
Test Method: AASHTO T164-14: Standard Method of Test for Quantitative Extraction of Asphalt Binder from Hot Mix Asphalt (HMA) (Asphalt Binder Content)
Verified Date: 06/11/2021
Date Tested: 06/01/2021
Submitted By Organization: Jaxon Enterprises - Deer Creek Rock & Asphalt
Organization Address: 27671 Ave 120,
Organization City: Porterville
Organization State: CA
Organization Zipcode: 93257
Organization Email: ahasegawa@jaxonaggregates.com
Organization Phone: 5597930903
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Asphalt Binder Content 5.8 %

Test 2 of 3

DIME Test ID: 2021-06-01-21-2
Test Method: AASHTO T30-19: Standard Method of Test for Mechanical Analysis of Extracted Aggregate (Mechanical Analysis)
Verified Date: 06/11/2021
Date Tested: 06/01/2021
Submitted By Organization: Jaxon Enterprises - Deer Creek Rock & Asphalt
Organization Address: 27671 Ave 120,
Organization City: Porterville
Organization State: CA
Organization Zipcode: 93257
Organization Email: ahasegawa@jaxonaggregates.com
Organization Phone: 5597930903
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
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 98 %
Cumulative percent passing the 3/8 in. sieve 5 %
Cumulative percent passing the #4 sieve 81 %
Cumulative percent passing the #8 sieve 69 %
Cumulative percent passing the #16 sieve 58 %
Cumulative percent passing the #30 sieve 45 %
Cumulative percent passing the #50 sieve 30 %
Cumulative percent passing the #100 sieve 19 %
Cumulative percent passing the #200 sieve 11.8 %

Test 3 of 3

DIME Test ID: 2021-06-01-21-3
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: 06/11/2021
Date Tested: 06/01/2021
Submitted By Organization: Jaxon Enterprises - Deer Creek Rock & Asphalt
Organization Address: 27671 Ave 120,
Organization City: Porterville
Organization State: CA
Organization Zipcode: 93257
Organization Email: ahasegawa@jaxonaggregates.com
Organization Phone: 5597930903
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Number of tests 1
Mass Determination Water
Specific Gravity for Sample 1 2.532

Tests Assigned to this Sample

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