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Sample Record for 2021-05-18-59

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Project Information

Project ID: 214515 DEA: 024F6004 EFIS: 0213000012 QA Service Level: 1
DIST-CO-RTE-PM: 02-SIS,TRI-36,96,299-VAR
Work Description: BRIDGE DECK REPAIR, POLYESTER OVERLAY AND RAIL REPLACEMENT.
Location Description: SISKIYOU AND TRINITY COUNTIES AT VARIOUS LOCATIONS
Contractor Name: MYERS AND SONS CONSTRUCTION
Contractor Address: 4600 NORTHGATE BLVD, STE #100, SACRAMENTO, CA 95834
Resident Engineer: Sunil Repaka Structure Rep.: Robert Thompson

Sample Information

DIME Sample ID: 2021-05-18-59
TL Number from the TL Form: 815633
Sample Submitted By Organization: CT D02 - North Region Materials Lab
Sample Organization Contact: (530) 225-3194
Type of Sample: Verification
Type of Material: Hot Mix Asphalt
Sample Taken Date: 05/18/2021
Date that the sample was received by the laboratory/organization performing the testing: 05/18/2021
The quantity of what the sample constitutes: JMF Verification
A brief description of the sample: 1/2-inch Type A HMA (PG 64-28 M)
From where was the sample collected: Manufacturer
Laboratory sample identification: D78802
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Mercer-Fraser Company, Willow Creek Plant, Willow Creek, CA

Material Information

HMA Type: Type A HMA
HMA Grading: 1/2 inch
Lot number:
Sublot number:

Test Results

Test 1 of 3

DIME Test ID: 2021-05-18-59-2
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: 07/23/2021
Date Tested: 05/19/2021
Submitted By Organization: CT D02 - North Region Materials Lab
Organization Address: 1657 Riverside Dr,MS-83
Organization City: Redding
Organization State: CA
Organization Zipcode: 96001
Organization Email: ward.jenkins@dot.ca.gov
Organization Phone: (530) 225-3194
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Number of tests 1
Mass Determination Air
Method Performed Mechanical Agitation - Method A
Mass of container filled with water 7336.6 grams
Mass of oven-dry sample in air for Sample 1 1694.3 grams
Mass of container filled with the sample and water for Sample 1 8394.5 grams
Temperature of Water 76 °F
Specific Gravity for Sample 1 2.662

Test 2 of 3

DIME Test ID: 2021-05-18-59-4
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: 07/23/2021
Date Tested: 05/19/2021
Submitted By Organization: CT D02 - North Region Materials Lab
Organization Address: 1657 Riverside Dr,MS-83
Organization City: Redding
Organization State: CA
Organization Zipcode: 96001
Organization Email: ward.jenkins@dot.ca.gov
Organization Phone: (530) 225-3194
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Bulk Specific Gravity 2.447
Bulk Specific Gravity 2 2.443
Bulk Specific Gravity 3 2.435
Average Bulk Specific Gravity 2.442

Test 3 of 3

DIME Test ID: 2021-05-18-59-5
Test Method: AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)
Verified Date: 07/23/2021
Date Tested: 05/20/2021
Submitted By Organization: CT D02 - North Region Materials Lab
Organization Address: 1657 Riverside Dr,MS-83
Organization City: Redding
Organization State: CA
Organization Zipcode: 96001
Organization Email: ward.jenkins@dot.ca.gov
Organization Phone: (530) 225-3194
General Comments for this Test:
Test Result Compliance: does not comply
Additional Comments When Verified:
Percent Air Voids 8.1 %
Percent Air Voids 2 8.2
Percent Air Voids 3 8.5
Percent Air Voids Average 8.3

Tests Assigned to this Sample

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