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Sample Record for 2021-08-20-54

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Project Information

Project ID: 214114 DEA: 040A5394 EFIS: 0418000244 QA Service Level: 1
DIST-CO-RTE-PM: 04-SOL-80,12-11.4/12.8, 2.1/2.8
Work Description: Widen EB SR-12 Connector, Construct 3 ramps & 2 box girder bridges, remove existing bridge, etc.
Location Description: I-80/I-680/Route 12 Interchange
Contractor Name: Kiewit Infrastructure West Co.
Contractor Address: 4650 Business Center Drive, Fairfield, CA 94534
Resident Engineer: Fernando Dos Santos Structure Rep.: Alejandro Lara

Sample Information

DIME Sample ID: 2021-08-20-54
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - DME / District Lab
Sample Organization Contact: (510) 507-3456
Type of Sample: Verification
Type of Material: Reclaimed Asphalt Pavement
Sample Taken Date: 08/20/2021
Date that the sample was received by the laboratory/organization performing the testing: 08/20/2021
The quantity of what the sample constitutes: 1 Bag RAP
A brief description of the sample: 1 Bag of RAP Sampled pt e plant
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: SYAR Lake Herman Drum

Material Information

RAP Source: Lake Herman Quarry
Aggregate Size:
Aggregate Source:
RAP Stockpile:
Stockpile Size (tons):

Test Results

Test 1 of 3

DIME Test ID: 2021-08-20-54-1
Test Method: AASHTO T30-19: Standard Method of Test for Mechanical Analysis of Extracted Aggregate (Mechanical Analysis)
Verified Date: 09/22/2021
Date Tested: 09/08/2021
Submitted By Organization: CT D04 - DME / District Lab
Organization Address: 21339 Cabot Blvd,
Organization City: Hayward
Organization State: CA
Organization Zipcode: 94545
Organization Email: mohammad.dehghan@dot.ca.gov
Organization Phone: (510) 507-3456
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 100 %
Cumulative percent passing the 3/8 in. sieve 99.2 %
Cumulative percent passing the #4 sieve 74.8 %
Cumulative percent passing the #8 sieve 52.9 %
Cumulative percent passing the #16 sieve 39.1 %
Cumulative percent passing the #30 sieve 29.9 %
Cumulative percent passing the #50 sieve 22.3 %
Cumulative percent passing the #100 sieve 14.7 %
Cumulative percent passing the #200 sieve 11.1 %

Test 2 of 3

DIME Test ID: 2021-08-20-54-2
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: 09/22/2021
Date Tested: 08/31/2021
Submitted By Organization: CT D04 - DME / District Lab
Organization Address: 21339 Cabot Blvd,
Organization City: Hayward
Organization State: CA
Organization Zipcode: 94545
Organization Email: mohammad.dehghan@dot.ca.gov
Organization Phone: (510) 507-3456
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Number of tests 2
Mass Determination Air
Specific Gravity for Sample 1 2.533
Specific Gravity for Sample 2 2.535
Average Specific Gravity 2.534

Test 3 of 3

DIME Test ID: 2021-08-20-54-3
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: 09/22/2021
Date Tested: 09/15/2021
Submitted By Organization: CT D04 - DME / District Lab
Organization Address: 21339 Cabot Blvd,
Organization City: Hayward
Organization State: CA
Organization Zipcode: 94545
Organization Email: mohammad.dehghan@dot.ca.gov
Organization Phone: (510) 507-3456
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Asphalt Binder Content 4.90 %
Correction Factor (Percent by mass of HMA Specimen) no data

Tests Assigned to this Sample

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