Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993239 DEA: 100P5404 EFIS: 1013000251
QA Service Level: 1
DIST-CO-RTE-PM: 10-SJ,STA-5,99-6.2/6.6,R17.7/R18.1
Work Description: REMOVE & PLACE STRUCTURAL CONCRETE BRIDGE; AND PLACE CONCRETE BARRIER.
Location Description: SAN JOAQUIN AND STANISLAUS COUNTIES ON ROUTE 5 FROM 0.2 MILE SOUTH TO 0.2 MILE NORTH OF ROUTE 5/33 SEPARATION AND OVERHEAD AND ON ROUTE 99 FROM 0.2 MILE SOUTH TO 0.2 MILE NORTH OF WEST MODESTO OVERHEAD
Contractor Name: Bridgeway Civil Constructors, Inc. - Tomas Ramirez
Contractor Address: 3333 Vaca Valley Parkway, Suite 200, Vacaville, CA 95219
Resident Engineer: Ariel Mendoza Structure Rep.: Ron Matin
DIME Sample ID: 2022-05-12-45
TL Number from the TL Form: 994228
Sample Submitted By Organization: CT D10 - District 10 Materials Laboratory
Sample Organization Contact: (209) 948-7567
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 05/12/2022
Date that the sample was received by the laboratory/organization performing the testing: 05/20/2022
The quantity of what the sample constitutes: 2 boxs
A brief description of the sample: 3/4 HMA
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Teichert Vernalis
DIME Test ID: 2022-05-12-45-1
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: 04/19/2023
Date Tested: 05/24/2022
Submitted By Organization: CT D10 - District 10 Materials Laboratory
Organization Address: 1976 East Dr. Martin Luther King Jr. Boulevard,
Organization City: Stockton
Organization State: CA
Organization Zipcode: 95205
Organization Email: mandeep.dhesi@dot.ca.gov
Organization Phone: (209) 948-7567
General Comments for this Test:
Test Result Compliance: complies
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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4.84 %
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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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0.97 %
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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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