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Sample Record for 2021-08-26-47

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

Project Information

Project ID: 215483 DEA: 022J0004 EFIS: 0221000017 QA Service Level: 1
DIST-CO-RTE-PM: 02-PLU-49-0.0/7.5
Work Description: PLACE HOT MIX ASPHALT (TYPE A).
Location Description: PLUMAS COUNTY AT AND NEAR VINTON FROM SIERRA COUNTY LINE TO ROUTE 70
Contractor Name: ALL AMERICAN CONSTRUCTION
Contractor Address: P.O. BOX 635 2048 PASEO ROAD, LIVE OAK CA 95953
Resident Engineer: Daniel Gibbs Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-08-26-47
TL Number from the TL Form: 897853
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: 08/26/2021
Date that the sample was received by the laboratory/organization performing the testing: 08/28/2021
The quantity of what the sample constitutes: 4 boxes at 4,000 Tons
A brief description of the sample: 3/8" HMA-A 15 RAP PG64-28M Valero
From where was the sample collected: Manufacturer
Laboratory sample identification: D78931
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Western NV Materials, Spanish Springs

Material Information

HMA Type: Type A HMA
HMA Grading: 3/8 inch
Lot number: Unknown
Sublot number: Unknown
HMA Mix Number:
Test results on following page(s): 3

Test Results

Test 1 of 3

DIME Test ID: 2021-08-26-47-1
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: 09/09/2021
Date Tested: 08/28/2021
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 1594.6 grams
Mass of container filled with the sample and water for Sample 1 8278.7 grams
Temperature of Water 75 °F
Specific Gravity for Sample 1 2.444
Theoretical maximum density at 25°C (77°F) no data

Test 2 of 3

DIME Test ID: 2021-08-26-47-2
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: 09/09/2021
Date Tested: 08/30/2021
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: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.346
Bulk Specific Gravity 2 2.345
Bulk Specific Gravity 3 2.347
Average Bulk Specific Gravity 2.346

Test 3 of 3

DIME Test ID: 2021-08-26-47-3
Test Method: AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)
Verified Date: 09/09/2021
Date Tested: 08/30/2021
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: complies
Additional Comments When Verified:
Percent Air Voids 4 %
Percent Air Voids 2 4.1 %
Percent Air Voids 3 4 %
Average Percent Air Voids 4 %