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Sample Record for 2022-08-28-7

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

Project Information

Project ID: 993555 DEA: 061C4304 EFIS: 0621000166 QA Service Level: 1
DIST-CO-RTE-PM: 06-MAD-41,99-9.2/11.7,0.0/1.5
Work Description: COLD PLANE AC, PLACE RHMA-G AND HMA (TYPE A).
Location Description: MADERA COUNTY NEAR MADERA ON ROUTE 41 FROM 0.7 MILE SOUTH OF ROAD 209 TO 0.3 MILE NORTH OF ROAD 208 AND ON ROUTE 99 FROM MADERA COUNTY LINE TO 0.7 MILE SOUTH OF AVENUE 8 OVERCROSSING
Contractor Name: CAL VALLEY CONSTRUCTION INC.
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2022-08-28-7
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 08/28/2022
Date that the sample was received by the laboratory/organization performing the testing: 09/06/2022
The quantity of what the sample constitutes: 4 boxes
A brief description of the sample: mix
From where was the sample collected: Manufacturer
Laboratory sample identification: 22-A-181
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Madera

Material Information

HMA Type: RHMA-G
HMA Grading: 1/2 inch
Lot number: 2
Sublot number: 1
HMA Mix Number:
Test results on following page(s): 3

Test Results

Test 1 of 3

DIME Test ID: 2022-08-28-7-1
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: 09/09/2022
Date Tested: 09/08/2022
Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Boulevard, Room 225,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (916) 227-7302
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Bulk Specific Gravity 2.297
Bulk Specific Gravity 2 2.303
Bulk Specific Gravity 3 2.291
Average Bulk Specific Gravity 2.297

Test 2 of 3

DIME Test ID: 2022-08-28-7-2
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: 09/09/2022
Date Tested: 09/08/2022
Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Boulevard, Room 225,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (916) 227-7302
General Comments for this Test:
Test Result Compliance:
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 2.371
Theoretical maximum density at 25°C (77°F) 147.9 lb/ft^3

Test 3 of 3

DIME Test ID: 2022-08-28-7-3
Test Method: AASHTO T312-14: Preparing and Determining the Density of Asphalt Mixture Specimens by Means of the Superpave Gyratory Compactor (Method of Compaction)
Verified Date: 09/09/2022
Date Tested: 09/08/2022
Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Boulevard, Room 225,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (916) 227-7302
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Volume of the specimen 0.000 cm^3
Uncorrected relative density (Gmmu50-150) no data
Relative density (Gmm50-150) 0.0 %
Air Voids (AV50-150) 3.1 %