Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 215183 DEA: 101C1704 EFIS: 1014000144
QA Service Level: 1
DIST-CO-RTE-PM: 10-MER-99-R12.7/17.8
Work Description: RECONSTRUCT ROADWAY WITH ROADWAY EXCAVATION, PLACE HMA AND CRCP.
Location Description: MERCED COUNTY IN MERCED FROM 0.2 MILE SOUTH OF CHILDS AVENUE OVERCROSSING TO 0.2 MILE SOUTH OF FRANKLIN ROAD OVERCROSSING.
Contractor Name: A. TEICHERT & SON, INC. DBA TEICHERT CONSTRUCTION
Contractor Address: 4533 E. Citron Ave, Fresno, CA 93725
Resident Engineer: Wali Waziri Structure Rep.: George Samuel
DIME Sample ID: 2022-06-17-18
TL Number from the TL Form: MC220027
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: 06/17/2022
Date that the sample was received by the laboratory/organization performing the testing: 06/20/2022
The quantity of what the sample constitutes: 4 boxes
A brief description of the sample: 3/4 HMA-A
From where was the sample collected: Manufacturer
Laboratory sample identification: 22-0H-60
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Teichert Materials Vernalis
DIME Test ID: 2022-06-17-18-1
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: 04/19/2023
Date Tested: 06/21/2022
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: not applicable
Additional Comments When Verified:
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Number of tests
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1
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What is the unit of measurement for theoretical density?
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US Units
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Mass Determination
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Water
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Specific Gravity for Sample 1
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2.486
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Theoretical maximum density at 25°C (77°F)
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154.7 lb/ft^3
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DIME Test ID: 2022-06-17-18-2
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: 04/19/2023
Date Tested: 06/21/2022
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:
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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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4.61 %
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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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