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Sample Record for 2023-02-10-50

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

Project Information

Project ID: 215486 DEA: 040A0204 EFIS: 0400000129 QA Service Level: 1
DIST-CO-RTE-PM: 04-SON-1-15-15.7
Work Description: Construct roadway and bridge with structural concrete and CIDH piling
Location Description: District-County-Route-Post Mile: 04-Son-1-R15.0/R15.7
Contractor Name: BRIDGEWAY CIVIL CONSTRUCTORS, INC.
Contractor Address: 4950 Allison Parkway, # A, Vacaville, CA 95688
Resident Engineer: Fabio La Serna Structure Rep.: Bunma Nou

Sample Information

DIME Sample ID: 2023-02-10-50
TL Number from the TL Form: 101340
Sample Submitted By Organization: CT D04 - Petaluma Field Laboratory
Sample Organization Contact: (510) 385-6841
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 02/10/2023
Date that the sample was received by the laboratory/organization performing the testing: 02/10/2023
The quantity of what the sample constitutes: 2 boxes
A brief description of the sample: 3/4 HMA
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Bodean - Santa Rosa

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number: 1
Sublot number: 1
HMA Mix Number: D04 JMF 22 011
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2023-02-10-50-2
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: 03/03/2023
Date Tested: 02/14/2023
Submitted By Organization: CT D04 - Petaluma Field Laboratory
Organization Address: 5675 Gibraltar Dr.,
Organization City: Pleasanton
Organization State: CA
Organization Zipcode: 94588
Organization Email: glenn.cea@dot.ca.gov
Organization Phone: (510) 385-6841
General Comments for this Test: Theoretical Maximum Density =2.589
Test Result Compliance: complies
Additional Comments When Verified:
Number of tests 2
What is the unit of measurement for theoretical density? US Units
Mass Determination Air
Method Performed no data
Mass of container filled with water 7389.4 grams
Mass of oven-dry sample in air for Sample 1 2543.2 grams
Mass of container filled with the sample and water for Sample 1 8953.4 grams
Mass of container filled with water 7389.4 grams
Mass of oven-dry sample in air for Sample 2 2538.2 grams
Mass of container filled with the sample and water for Sample 2 8949.9 grams
Temperature of Water 77 °F
Specific Gravity for Sample 1 2.597
Specific Gravity for Sample 2 2.596
Average Specific Gravity 2.596
Theoretical maximum density at 25°C (77°F) 161.6 lb/ft^3