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Sample Record for 2021-08-20-61

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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: Cassaundra Lograsso Structure Rep.: Kambiz Kouchesfahani

Sample Information

DIME Sample ID: 2021-08-20-61
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: Hot Mix Asphalt
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: JMF 16 boxs
A brief description of the sample: 16 boxes HMA
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Syar Vallejo

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number:
Sublot number:
HMA Mix Number:
Test results on following page(s): 5

Test Results

Test 1 of 5

DIME Test ID: 2021-08-20-61-1
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: 10/06/2021
Date Tested: 09/01/2021
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:
Bulk Specific Gravity 2.342
Bulk Specific Gravity 2 2.345
Bulk Specific Gravity 3 2.344
Average Bulk Specific Gravity 2.344

Test 2 of 5

DIME Test ID: 2021-08-20-61-2
Test Method: AASHTO T283-14: Standard Method of Test for Resistance of Compacted Asphalt Mixtures to Moisture-Induced Damage (Moisture Content)
Verified Date: 10/06/2021
Date Tested: 09/07/2021
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:
Unit system used? SI Units
Average Dry Tensile Strength 154 psi
Average Wet Tensile Strength 132 psi
Tensile Strength Ratio 0.86

Test 3 of 5

DIME Test ID: 2021-08-20-61-3
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: 09/07/2021
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:
What temperature unit is used? Fahrenheit
Test procedure used? Method A
Mass of the specimen basket assembly no data
Mass of the specimen and specimen basket assembly prior to ignition no data
Mass of HMA Sample prior to ignition 2030.8 g
Corrected Asphalt Binder Content 5.65 %
Mass Loss no data
Mass of aggregate remaining after ignition 1881.5 g
Correction Factor (Percent by mass of HMA Specimen) 1.70 %
Moisture Content 0.00 %
Temperature Compensation Factor no data
Test Temperature 250 F

Test 4 of 5

DIME Test ID: 2021-08-20-61-4
Test Method: AASHTO T324-14: Standard Method of Test for Hamburg Wheel-Track Testing of Compacted Asphalt Mixtures (Hamburg Wheel Track)
Verified Date: 10/06/2021
Date Tested: 09/06/2021
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:
Test Result Compliance:
Additional Comments When Verified:
Specified minimum number of passes at ½” rut depth, or number of passes at ½” rut depth if applicable (Wheel A) 15000
Specified minimum number of passes at ½” rut depth, or number of passes at ½” rut depth if applicable (Wheel B) 15000
Impression at specified number of passes, or specified maximum impression if applicable (Wheel A) 3.86 mm
Impression at specified number of passes, or specified maximum impression if applicable (Wheel B) 3.34 mm
Stripping Inflection Point (Wheel A) 25045
Stripping Inflection Point (Wheel B) 17983

Test 5 of 5

DIME Test ID: 2021-08-20-61-5
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: 09/08/2021
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:
Number of tests 2
What is the unit of measurement for theoretical density? US Units
Mass Determination Air
Specific Gravity for Sample 1 2.457
Specific Gravity for Sample 2 2.457
Average Specific Gravity 2.457
Theoretical maximum density at 25°C (77°F) no data