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Sample Record for 2022-09-21-40

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

Project Information

Project ID: 993590 DEA: 101J2004 EFIS: 1018000147 QA Service Level: 1
DIST-CO-RTE-PM: 10-SJ-26-8.0/17.8
Work Description: COLD PLANE AND HMA OVERLAY.
Location Description: SAN JOAQUIN COUNTY AT AND NEAR LINDEN AT VARIOUS LOCATIONS FROM 0.7 MILE EAST OF GOGNA ROAD TO 1.3 MILES WEST OF SHELLEY ROAD
Contractor Name: George Reed Inc.
Contractor Address: 140 Empire Ave, Modesto, CA 95354
Resident Engineer: Troy Scheiber Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2022-09-21-40
TL Number from the TL Form: 035084
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: 09/21/2022
Date that the sample was received by the laboratory/organization performing the testing: 09/22/2022
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-H-152
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: GRI,Clements

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number: 3
Sublot number: 1
HMA Mix Number:
Test results on following page(s): 4

Test Results

Test 1 of 4

DIME Test ID: 2022-09-21-40-1
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: 09/27/2022
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) 153.3 lb/ft^3

Test 2 of 4

DIME Test ID: 2022-09-21-40-2
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: 09/27/2022
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 4.90 %
Mass Loss no data
Correction Factor (Percent by mass of HMA Specimen) 55.00 %
Moisture Content no data
Temperature Compensation Factor no data
Test Temperature no data

Test 3 of 4

DIME Test ID: 2022-09-21-40-3
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: 09/27/2022
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 4.4 %

Test 4 of 4

DIME Test ID: 2022-09-21-40-4
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: 09/27/2022
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 2.448