Project Information

Project ID: 994729 DEA: 034H88U4 EFIS: 0323000024 QA Service Level: 1

DIST-CO-RTE-PM: 03-BUT-32-0.3/5.0

Work Description: INSTALL LIGHTING, WIDEN SHLD, UPGRADE END TREATMENTS, EXTEND CULVERTS.

Location Description: BUTTE COUNTY NEAR CHICO FROM 0.3 MILE EAST OF BUTTE COUNTY LINE TO MUIR AVENUE

Contractor Name: BALDWIN CONTRACTING COMPANY INC. DBA KNIFE RIVER CONSTRUCTION

Contractor Address: 1764 SKYWAY, CHICO, CA 95928

Resident Engineer: Dustin Watts Structure Rep.: Nicholas McLean

Sample Information

DIME Sample ID: 2023-11-07-48

TL Number from the TL Form:

Sample Submitted By Organization: CT D03 - Olivehurst Northern Regional Laboratory

Sample Organization Contact: (530) 741-4238

Type of Sample: Quality Assurance

Type of Material: Hot Mix Asphalt

Sample Taken Date: 11/07/2023

Date that the sample was received by the laboratory/organization performing the testing: 11/08/2023

The quantity of what the sample constitutes: 3/4" HMA-A

A brief description of the sample: Boxes of Mix

From where was the sample collected: Job Site

Laboratory sample identification:

Structure unique identifier:

Structure name:

The fabricator/manufacturer/facility name: KRC Orland

Material Information

HMA Type: Type A HMA

HMA Grading: 3/4 inch

Lot number: 1

Sublot number: 1

HMA Mix Number:

Test Results

Test 1 of 2

DIME Test ID: 2023-11-07-48-1

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: 11/08/2023

Date Tested: 11/08/2023

Submitted By Organization: CT D03 - Olivehurst Northern Regional Laboratory

Organization Address: 5330 Arboga Road,

Organization City: Olivehurst

Organization State: CA

Organization Zipcode: 95961

Organization Email: jeff.herbert@dot.ca.gov

Organization Phone: (530) 741-4238

General Comments for this Test:

Test Result Compliance: complies

Additional Comments When Verified:

Number of Samples	1
What is the unit of measurement for theoretical density?	SI Units
Mass Determination	Air
Specific Gravity for Sample 1	2.539
Theoretical maximum density at 25°C (77°F)	3 kg/m^3

Test 2 of 2

DIME Test ID: 2023-11-07-48-2

Test Method: AASHTO T308-10: Standard Method of Test for Determining the Asphalt Binder Content of Hot Mix Asphalt (HMA) by the Ignition Method (Method A) (Asphalt Binder Content)