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Sample Record for 2021-08-20-60

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

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: Cassaundra Lograsso Structure Rep.: Kambiz Kouchesfahani

Sample Information

DIME Sample ID: 2021-08-20-60
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - Hayward DME / District Laboratory
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: 08/08/2021
The quantity of what the sample constitutes: 2 bags
A brief description of the sample: 2 bags samples
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Syar Industries

Material Information

RAP Source: Syar Vallejo
Aggregate Size:
Aggregate Source:
RAP Stockpile:
Stockpile Size (tons):
Reclaimed Asphalt Pavement Mix Number:
Test results on following page(s): 3

Test Results

Test 1 of 3

DIME Test ID: 2021-08-20-60-1
Test Method: AASHTO T30-19: Standard Method of Test for Mechanical Analysis of Extracted Aggregate (Mechanical Analysis)
Verified Date: 10/06/2021
Date Tested: 09/08/2021
Submitted By Organization: CT D04 - Hayward DME / District Laboratory
Organization Address: 111 Grand Avenue,
Organization City: Oakland
Organization State: CA
Organization Zipcode: 94623
Organization Email: mohammad.dehghan@dot.ca.gov
Organization Phone: (510) 286-4717
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Is an aggregate correction factor used? 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 98.9 %
Cumulative percent passing the #4 sieve 72.7 %
Cumulative percent passing the #8 sieve 51.4 %
Cumulative percent passing the #16 sieve 38 %
Cumulative percent passing the #30 sieve 29.1 %
Cumulative percent passing the #50 sieve 21.6 %
Cumulative percent passing the #100 sieve 14 %
Cumulative percent passing the #200 sieve 10.2 %

Test 2 of 3

DIME Test ID: 2021-08-20-60-2
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: 10/06/2021
Date Tested: 09/02/2021
Submitted By Organization: CT D04 - Hayward DME / District Laboratory
Organization Address: 111 Grand Avenue,
Organization City: Oakland
Organization State: CA
Organization Zipcode: 94623
Organization Email: mohammad.dehghan@dot.ca.gov
Organization Phone: (510) 286-4717
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Number of tests 2
What is the unit of measurement for theoretical density? US Units
Mass Determination Air
Specific Gravity for Sample 1 2.533
Specific Gravity for Sample 2 2.533
Average Specific Gravity 2.533
Theoretical maximum density at 25°C (77°F) no data

Test 3 of 3

DIME Test ID: 2021-08-20-60-3
Test Method: AASHTO T308-10: Standard Method of Test for Determining the Asphalt Binder Content of Hot Mix Asphalt (HMA) by the Ignition Method (Method A) (Asphalt Binder Content)
Verified Date: 10/06/2021
Date Tested: 10/06/2021
Submitted By Organization: CT D04 - Hayward DME / District Laboratory
Organization Address: 111 Grand Avenue,
Organization City: Oakland
Organization State: CA
Organization Zipcode: 94623
Organization Email: mohammad.dehghan@dot.ca.gov
Organization Phone: (510) 286-4717
General Comments for this Test: This value is extracted from Page 2 of submitted 3111 per Donald Zuniga's instruction
Test Result Compliance:
Additional Comments When Verified:
What temperature unit is used? Fahrenheit
Test procedure used? no data
Mass of HMA Sample prior to ignition no data
Corrected Asphalt Binder Content 4.87 %
Mass Loss no data
Correction Factor (Percent by mass of HMA Specimen) no data
Moisture Content no data
Temperature Compensation Factor no data
Test Temperature no data