Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 208942 DEA: 100Y2104 EFIS: 1013000104 COOP: 10415
QA Service Level: 1
DIST-CO-RTE-PM: 10-TUO-108-R4.3/R5.1
Work Description: MODIFY AND WIDEN STRUCTURE
Location Description: AT PEACEFUL OAK ROAD INTERCHANGE ,PART OF EAST SONORA BYPASS
Contractor Name: SIERRA MOUNTAIN CONSTRUCTION INC.
Contractor Address: 13919 Mono Way, Sonora, CA 95370
Resident Engineer: Corey Casey Structure Rep.: Ehab Wahed
DIME Sample ID: 2022-08-02-24
TL Number from the TL Form: 034446
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: 08/02/2022
Date that the sample was received by the laboratory/organization performing the testing: 08/03/2022
The quantity of what the sample constitutes: 2 boxs
A brief description of the sample: 3/4 HMA-SP Type A
From where was the sample collected: Manufacturer
Laboratory sample identification: 22-H-111
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: George Reed - Table Mountain Plant
DIME Test ID: 2022-08-02-24-1
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: 08/04/2022
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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2.471
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Theoretical maximum density at 25°C (77°F)
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153.8 lb/ft^3
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DIME Test ID: 2022-08-02-24-2
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: 08/04/2022
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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4.99 %
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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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0.52 %
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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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