Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214293 DEA: 060S4604 EFIS: 0615000038
QA Service Level: 1
DIST-CO-RTE-PM: 06-FRE-99-R0.9/R5.0
Work Description: REPLACE CONCRETE AND ASPHALT PAVEMENT.
Location Description: FRESNO COUNTY IN AND NEAR KINGSBURG AND SELMA FROM ROUTE 99/201 SEPARATION TO 0.3 MILE SOUTH OF SECOND STREET UNDERCROSSING
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 38155 Monroe Street, Indio, CA 92203
Resident Engineer: Mohammad Samimi Structure Rep.: Peter Moua
DIME Sample ID: 2021-06-24-36
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Dispute Resolution
Type of Material: Hot Mix Asphalt
Sample Taken Date: 06/24/2021
Date that the sample was received by the laboratory/organization performing the testing: 10/12/2021
The quantity of what the sample constitutes: 2 boxes
A brief description of the sample: HMA
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CMI Fresno
DIME Test ID: 2021-06-24-36-1
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: 11/01/2021
Date Tested: 11/01/2021
Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Boulevard, Room 225,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (916) 227-7302
General Comments for this Test:
Test Result Compliance: does not comply
Additional Comments When Verified:
What temperature unit is used?
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Fahrenheit
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Test procedure used?
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no data
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Mass of HMA Sample prior to ignition
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no data
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Corrected Asphalt Binder Content
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4.92 %
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Mass Loss
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no data
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Correction Factor (Percent by mass of HMA Specimen)
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0.22 %
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Moisture Content
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no data
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Temperature Compensation Factor
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no data
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Test Temperature
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no data
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