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Sample Record for 2023-01-30-42

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

Project Information

Project ID: 66667 DEA: JMFPP EFIS: 0019000043 QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for submitting Sample information for JMF Prequalification Program.
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-01-30-42
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: Verification
Type of Material: Reclaimed Asphalt Pavement
Sample Taken Date: 01/30/2023
Date that the sample was received by the laboratory/organization performing the testing: 01/30/2023
The quantity of what the sample constitutes: 3 bags
A brief description of the sample: RAP
From where was the sample collected: Source
Laboratory sample identification: 023-006
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Granite Construction

Material Information

RAP Source: Stockpile
Aggregate Size:
Aggregate Source:
RAP Stockpile: Static
Stockpile Size (tons):
Reclaimed Asphalt Pavement Mix Number:

Test Results

Test 1 of 2

DIME Test ID: 2023-01-30-42-1
Test Method: AASHTO T209-12: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)
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
Data has not been verified.

Test 2 of 2

DIME Test ID: 2023-01-30-42-2
Test Method: AASHTO T30-19: Standard Method of Test for Mechanical Analysis of Extracted Aggregate (Mechanical Analysis)
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
Data has not been verified.