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Sample Record for 2021-09-27-71

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

Project Information

Project ID: 215744 DEA: 033H93U4 EFIS: 0321000091 QA Service Level: 1
DIST-CO-RTE-PM: 03-YUB,BUT-70-25.5/25.8,0.0/3.8
Work Description: WIDEN ROADWAY & SHOULDER, ADD TURN LANES & CONSTRUCT BRIDGE.
Location Description: YUBA AND BUTTE COUNTIES ABOUT 11 MILES NORTH OF MARYSVILLE FROM 0.8 MILE NORTH OF CHANDLER ROAD TO 0.2 MILE SOUTH OF EAST GRIDLEY ROAD
Contractor Name: Teichert Construction & MCM JV
Contractor Address: 4401 Duluth Ave, Rocklin, CA 95766
Resident Engineer: Anthony Granados Structure Rep.: Matt Crete

Sample Information

DIME Sample ID: 2021-09-27-71
TL Number from the TL Form:
Sample Submitted By Organization: CT D03 - Olivehurst Northern Regional Laboratory
Sample Organization Contact: (530) 741-4238
Type of Sample: Verification
Type of Material: Reclaimed Asphalt Pavement
Sample Taken Date: 09/27/2021
Date that the sample was received by the laboratory/organization performing the testing: 09/28/2021
The quantity of what the sample constitutes: bags of rap
A brief description of the sample: 1/2" Rap
From where was the sample collected: Supplier
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Teichert Aggregates

Material Information

RAP Source: Teichert Aggregates
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: 2021-09-27-71-1
Test Method: AASHTO T30-19: Standard Method of Test for Mechanical Analysis of Extracted Aggregate (Mechanical Analysis)
Verified Date: 12/27/2021
Date Tested: 09/29/2021
Submitted By Organization: CT D03 - Olivehurst Northern Regional Laboratory
Organization Address: 5330 Arboga Road,
Organization City: Olivehurst
Organization State: CA
Organization Zipcode: 95961
Organization Email: jeff.herbert@dot.ca.gov
Organization Phone: (530) 741-4238
General Comments for this Test: JMF21-039
Test Result Compliance:
Additional Comments When Verified:
Is an aggregate correction factor used? No
Cumulative percent passing the 2 in. sieve 0 %
Cumulative percent passing the 1 1/2 in. sieve 0 %
Cumulative percent passing the 1 in. sieve 0 %
Cumulative percent passing the 3/4 in. sieve 0 %
Cumulative percent passing the 1/2 in. sieve 96 %
Cumulative percent passing the 3/8 in. sieve 86 %
Cumulative percent passing the #4 sieve 61 %
Cumulative percent passing the #8 sieve 41 %
Cumulative percent passing the #16 sieve 30 %
Cumulative percent passing the #30 sieve 22 %
Cumulative percent passing the #50 sieve 16 %
Cumulative percent passing the #100 sieve 11 %
Cumulative percent passing the #200 sieve 8.0 %

Test 2 of 3

DIME Test ID: 2021-09-27-71-2
Test Method: AASHTO T308-10: Standard Method of Test for Determining the Asphalt Binder Content of Hot Mix Asphalt (HMA) by the Ignition Method (Method A) (Asphalt Binder Content)
Verified Date: 12/27/2021
Date Tested: 09/29/2021
Submitted By Organization: CT D03 - Olivehurst Northern Regional Laboratory
Organization Address: 5330 Arboga Road,
Organization City: Olivehurst
Organization State: CA
Organization Zipcode: 95961
Organization Email: jeff.herbert@dot.ca.gov
Organization Phone: (530) 741-4238
General Comments for this Test: JMF21-039
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 5.20 %
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

Test 3 of 3

DIME Test ID: 2021-09-27-71-3
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: 12/27/2021
Date Tested: 09/29/2021
Submitted By Organization: CT D03 - Olivehurst Northern Regional Laboratory
Organization Address: 5330 Arboga Road,
Organization City: Olivehurst
Organization State: CA
Organization Zipcode: 95961
Organization Email: jeff.herbert@dot.ca.gov
Organization Phone: (530) 741-4238
General Comments for this Test: jmf21-039
Test Result Compliance:
Additional Comments When Verified:
Number of tests 1
What is the unit of measurement for theoretical density? US Units
Mass Determination Air
Specific Gravity for Sample 1 2.567
Theoretical maximum density at 25°C (77°F) no data