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Sample Record for 2023-05-17-64

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

Project Information

Project ID: 215396 DEA: 042K8404 EFIS: 0417000031 QA Service Level: 1
DIST-CO-RTE-PM: 04-SOL-29,80-0.0,0.8/1.6
Work Description: HMA, STRUCTURAL CONCRETE, CIDH PILING AND REBAR.
Location Description: SOLANO COUNTY IN VALLEJO AT ROUTE 80/29 SEPARATION AND ON ROUTE 80 FROM 0.2 MILE NORTH OF CARQUINEZ BRIDGE TOLL PLAZA TO 0.3 MILE SOUTH OF MAGAZINE STREET OVERCROSSING
Contractor Name: OC Jones & Sons Inc
Contractor Address: 1520 4th Street, Berkeley, CA 94710
Resident Engineer: Noel Aquino Structure Rep.: Angelo Perez

Sample Information

DIME Sample ID: 2023-05-17-64
TL Number from the TL Form: C422-331
Sample Submitted By Organization: CT D04 - Concord Field Laboratory
Sample Organization Contact: (510) 714-7019
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 05/17/2023
Date that the sample was received by the laboratory/organization performing the testing: 05/19/2023
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: Con_23_504
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Vallejo

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number:
Sublot number:
HMA Mix Number: 411101510LD

Test Results

Test 1 of 2

DIME Test ID: 2023-05-17-64-1
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: 05/25/2023
Date Tested: 05/24/2023
Submitted By Organization: CT D04 - Concord Field Laboratory
Organization Address: 2525 Stanwell Drive, Suite 100,
Organization City: Concord
Organization State: CA
Organization Zipcode: 94520
Organization Email: gurind.joshi@dot.ca.gov
Organization Phone: (510) 714-7019
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 2538.6 grams
Mass of container filled with the sample and water for Sample 1 8912.4 grams
Temperature of Water 77 °F
Specific Gravity for Sample 1 2.544
Theoretical maximum density at 25°C (77°F) 2536.6 kg/m^3

Test 2 of 2

DIME Test ID: 2023-05-17-64-2
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: 06/19/2023
Date Tested: 05/24/2023
Submitted By Organization: CT D04 - Concord Field Laboratory
Organization Address: 2525 Stanwell Drive, Suite 100,
Organization City: Concord
Organization State: CA
Organization Zipcode: 94520
Organization Email: gurind.joshi@dot.ca.gov
Organization Phone: (510) 714-7019
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.41
Bulk Specific Gravity 2 2.4
Bulk Specific Gravity 3 2.455
Average Bulk Specific Gravity 2.4216