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Sample Record for 2023-04-12-25

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

Project Information

Project ID: 994513 DEA: 043Y0604 EFIS: 0423000193 QA Service Level: 1
DIST-CO-RTE-PM: 04-MRN-1-var/var
Work Description: PAVEMENT REPAIR
Location Description:
Contractor Name: Team Ghilotti
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-04-12-25
TL Number from the TL Form: C727120
Sample Submitted By Organization: CT D04 - Richmond Field Laboratory
Sample Organization Contact: (510) 231-7151
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 04/12/2023
Date that the sample was received by the laboratory/organization performing the testing: 04/14/2023
The quantity of what the sample constitutes: 2 Boxes
A brief description of the sample: 3/4 HMA Type A
From where was the sample collected: Manufacturer
Laboratory sample identification: Rich_23_103
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: 10
HMA Mix Number: 700SPW16
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2023-04-12-25-1
Test Method: AASHTO T209-22: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)
Verified Date: 04/24/2023
Date Tested: 04/18/2023
Submitted By Organization: CT D04 - Richmond Field Laboratory
Organization Address: 3401 Regatta Boulevard,
Organization City: Richmond
Organization State: CA
Organization Zipcode: 94508
Organization Email: santiago.sequeira@dot.ca.gov
Organization Phone: (510) 385-7641
General Comments for this Test:
Test Result Compliance: not applicable
Additional Comments When Verified:
Number of Samples 1
What is the unit of measurement for theoretical density? SI Units
Mass Determination Air
Method Performed Mechanical Agitation - Method A
Mass of container filled with water 1 7371.8 grams
Mass of oven-dry sample in air for Sample 1 2555.7 grams
Mass of container filled with the sample and water for Sample 1 8950.0 grams
Temperature of Water 77 °F
Specific Gravity for Sample 1 2.615
Theoretical maximum density at 25°C (77°F) 2607.4 kg/m^3