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Sample Record for 2021-05-26-47

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

Project Information

Project ID: 212496 DEA: 024E4504 EFIS: 0200020286 QA Service Level: 1
DIST-CO-RTE-PM: 02-LAS,MOD-139,299-VAR
Work Description: PLACE HMA, REPLACE DRAINAGE, CULVERT, ELECTRICAL AND LIGHTING SYSTEMS.
Location Description: LASSEN AND MODOC COUNTIES ON ROUTE 139 AT 0.1 MILE NORTH OF LASSEN COUNTY LINE AND ON ROUTE 299 AT VARIOUS LOCATONS FROM 0.4 MILE WEST OF BOYD HILL LOOKOUT ROAD TO 0.6 MILE EAST OF COUNTY ROAD 87
Contractor Name: PAR ELECTRICAL CONTRACTORS INC
Contractor Address: 1465 WEST FOURTH STREET, RENO, NV 89503
Resident Engineer: Mike Zdenek Structure Rep.: Chris Brace

Sample Information

DIME Sample ID: 2021-05-26-47
TL Number from the TL Form: 779359
Sample Submitted By Organization: CT D02 - Redding Northern Regional Laboratory
Sample Organization Contact: (530) 225-3194
Type of Sample: Department Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 05/26/2021
Date that the sample was received by the laboratory/organization performing the testing: 05/27/2021
The quantity of what the sample constitutes: 750 Tons
A brief description of the sample: 3/4-inch Type A HMA (eq. PG 64-28 M)
From where was the sample collected: Manufacturer
Laboratory sample identification: D78813
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Hat Creek Construction and Materials - Shaw Pit Facility - Lookout, CA

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number: 1
Sublot number: 13
HMA Mix Number:
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2021-05-26-47-1
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: 08/06/2021
Date Tested: 05/28/2021
Submitted By Organization: CT D02 - Redding Northern Regional Laboratory
Organization Address: 1657 Riverside Drive,
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
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 7336.6 grams
Mass of oven-dry sample in air for Sample 1 2550.9 grams
Mass of container filled with the sample and water for Sample 1 8852.5 grams
Temperature of Water 77 °F
Specific Gravity for Sample 1 2.465
Theoretical maximum density at 25°C (77°F) no data