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Sample Record for 2023-02-21-59

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Project Information

Project ID: 993333 DEA: 04264724 EFIS: 0419000068 QA Service Level: 1
DIST-CO-RTE-PM: 04-MRN-101-R20.8/27.1
Work Description: CIP BRIDGES, CONSTRUCT ROADWAY, RETAINING WALLS AND MODIFY ELECTRICAL.
Location Description: MARIN COUNTY IN AND NEAR NOVATO FROM 0.1 MILE SOUTH OF FRANKLIN AVENUE OVERHEAD TO 0.5 MILE SOUTH OF SAN ANTONIO CREEK BRIDGE
Contractor Name: GHILOTTI CONSTRUCTION CO. INC. (RILEY GENAZZI & JOSH SERAFINO)
Contractor Address: 246 GHILOTTI AVE., SANTA ROSA, CA 95407
Resident Engineer: Fabio La Serna Structure Rep.: Jeremy Light

Sample Information

DIME Sample ID: 2023-02-21-59
TL Number from the TL Form:
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: 02/21/2023
Date that the sample was received by the laboratory/organization performing the testing: 02/21/2023
The quantity of what the sample constitutes: 2 boxes
A brief description of the sample: 3/4 HMA-SP Type A
From where was the sample collected: Supplier
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Dutra Richmond

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number: 3
Sublot number: 2
HMA Mix Number: DO4 JMF 22 016

Test Results

Test 1 of 3

DIME Test ID: 2023-02-21-59-1
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: 05/03/2023
Date Tested: 02/23/2023
Submitted By Organization: CT D04 - Petaluma Field Laboratory
Organization Address: 5675 Gibraltar Drive,
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:
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 Mechanical Agitation - Method A
Mass of container filled with water 7389.4 grams
Mass of oven-dry sample in air for Sample 1 2538.0 grams
Mass of container filled with the sample and water for Sample 1 8903.0 grams
Mass of container filled with water 7389.4
Mass of oven-dry sample in air for Sample 2 2546.4 grams
Mass of container filled with the sample and water for Sample 2 8906.8 grams
Temperature of Water 77 °F
Specific Gravity for Sample 1 2.478
Specific Gravity for Sample 2 2.475
Average Specific Gravity 2.477
Theoretical maximum density at 25°C (77°F) 154.2 lb/ft^3

Test 2 of 3

DIME Test ID: 2023-02-21-59-2
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: 05/03/2023
Date Tested: 02/23/2023
Submitted By Organization: CT D04 - Petaluma Field Laboratory
Organization Address: 5675 Gibraltar Drive,
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: Core Density 1= 2.358 Core Density 2=2.315
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.365
Bulk Specific Gravity 2 2.322
Average Bulk Specific Gravity 2.344

Test 3 of 3

DIME Test ID: 2023-02-21-59-3
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: 05/03/2023
Date Tested: 02/23/2023
Submitted By Organization: CT D04 - Petaluma Field Laboratory
Organization Address: 5675 Gibraltar Drive,
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: Core Density1=2.312 Core Density2=2.319
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.319
Bulk Specific Gravity 2 2.326
Average Bulk Specific Gravity 2.322