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Sample Record for 2021-09-08-13

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

Project Information

Project ID: 215393 DEA: 021J5104 EFIS: 0220000086 QA Service Level: 1
DIST-CO-RTE-PM: 02-LAS,MOD-139-57.0/66.635,0.0/0.1
Work Description: PERFORM COLD IN-PLACE RECYCLING AND PLACE HOT MIX ASPHALT (TYPE A).
Location Description: LASSEN AND MODOC COUNTIES NEAR ADIN FROM 4.5 MILES SOUTH OF COUNTY ROAD A2 TO 0.1 MILE SOUTH OF ROUTE 299
Contractor Name: Hat Creek Construction
Contractor Address: 24339 Highway 89 N, Burney, CA 96013
Resident Engineer: Mike Zdenek Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-09-08-13
TL Number from the TL Form: 853171
Sample Submitted By Organization: CT D02 - North Region Materials Lab
Sample Organization Contact: (530) 225-3194
Type of Sample: Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 09/08/2021
Date that the sample was received by the laboratory/organization performing the testing: 09/10/2021
The quantity of what the sample constitutes: 10,000 Ton Milestone, 8 boxes
A brief description of the sample: 1/2 inch HMA-A 25 RAP PG58-34M Albina
From where was the sample collected: Manufacturer
Laboratory sample identification: D78940
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: 1/2 inch
Lot number: Unknown
Sublot number: Unknown

Test Results

Test 1 of 2

DIME Test ID: 2021-09-08-13-1
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: 09/16/2021
Date Tested: 09/13/2021
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 7336.5 grams
Mass of oven-dry sample in air for Sample 1 1611.2 grams
Mass of container filled with the sample and water for Sample 1 8286.8 grams
Temperature of Water 77 °F
Specific Gravity for Sample 1 2.438

Test 2 of 2

DIME Test ID: 2021-09-08-13-2
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: 09/16/2021
Date Tested: 09/11/2021
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: complies
Additional Comments When Verified:
Asphalt Binder Content 6.07 %
Correction Factor (Percent by mass of HMA Specimen) 0.29 %

Tests Assigned to this Sample

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