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Sample Record for 2022-06-21-10

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

Project Information

Project ID: 215789 DEA: 10462104 EFIS: 1013000266 QA Service Level: 1
DIST-CO-RTE-PM: 10-TUO-108-R18.9/38.8
Work Description: COLD PLANE, HMA, DRAINAGE REPLACEMENT, AND MODIFY TRAFFIC STATIONS.
Location Description: TUOLUMNE COUNTY IN AND NEAR LONG BARN FROM 0.1 MILE WEST OF LONG BARN ROAD TO 2.3 MILES EAST OF COW CREEK ROAD
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Shamsurahman Sheenwari Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2022-06-21-10
TL Number from the TL Form: 994772
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: 06/21/2022
Date that the sample was received by the laboratory/organization performing the testing: 06/21/2022
The quantity of what the sample constitutes: 8 Boxes
A brief description of the sample: 1/2 HMA-A
From where was the sample collected: Manufacturer
Laboratory sample identification: 22-H-64
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: GRI, Table MT

Material Information

HMA Type: Type A HMA
HMA Grading: 1/2 inch
Lot number: 1
Sublot number: 1
HMA Mix Number:

Test Results

Test 1 of 4

DIME Test ID: 2022-06-21-10-1
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: 06/22/2022
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? Fahrenheit
Test procedure used? no data
Mass of HMA Sample prior to ignition no data
Corrected Asphalt Binder Content 5.55 %
Mass Loss no data
Correction Factor (Percent by mass of HMA Specimen) 0.45 %
Moisture Content no data
Temperature Compensation Factor no data
Test Temperature no data

Test 2 of 4

DIME Test ID: 2022-06-21-10-2
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: 04/19/2023
Date Tested: 06/22/2022
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:
Bulk Specific Gravity 2.361

Test 3 of 4

DIME Test ID: 2022-06-21-10-3
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: 04/19/2023
Date Tested: 06/22/2022
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:
Number of tests 1
What is the unit of measurement for theoretical density? US Units
Mass Determination Water
Specific Gravity for Sample 1 2.448
Theoretical maximum density at 25°C (77°F) 152.4 lb/ft^3

Test 4 of 4

DIME Test ID: 2022-06-21-10-4
Test Method: AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)
Verified Date: 04/19/2023
Date Tested: 06/22/2022
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:
Percent Air Voids 3.6 %