Project Information

Project ID: 214469 DEA: 030H08U4 EFIS: 0319000029 QA Service Level: 1

DIST-CO-RTE-PM: 03-SAC-50-L0.2/R6.1

Work Description: Sac 50 Design Build PLEASE NOTE THAT DESIGN BUILDER MUST PERFORM QUALITY VALIDATION TESTING IN ACCORDANCE WITH THE MATERIAL CONTROL SCHEDULE (MCS) FOR ITEMS SUCH AS STRANDS, HS BOLTS, ELASTOMERIC BEARING PADS, JOINT SEALANTS, COUPLERS & WELDED HOOPS, ETC

Location Description: FROM 0.1 MILE EAST OF I-5 TO 0.8 MILE EAST OF WATT AVE

Contractor Name: FLATIRON WEST INC

Contractor Address: 2100 Goodyear Rd., Benicia, CA 94510

Resident Engineer: Jim Rogers Structure Rep.: Caleb Toy

Sample Information

DIME Sample ID: 2024-03-16-20

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: 03/16/2024

Date that the sample was received by the laboratory/organization performing the testing: 03/26/2024

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

A brief description of the sample: 2 Boxes of Mix

From where was the sample collected: Job Site

Laboratory sample identification: Daily 24-006

Structure unique identifier:

Structure name:

The fabricator/manufacturer/facility name: Teichert Perkins

Material Information

HMA Type: Type A HMA

HMA Grading: 3/4 inch

Lot number: 5

Sublot number: 3

HMA Mix Number:

Test Results

Test 1 of 2

DIME Test ID: 2024-03-16-20-1

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)

Verified Date: 03/27/2024

Date Tested: 03/27/2024

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:

What temperature unit is used?	Celsius
Test procedure used?	Method A
Mass of HMA Sample prior to ignition	2116.8 g
Corrected Asphalt Binder Content	5.16 %
Mass Loss	120.2 g
Correction Factor (Percent by mass of HMA Specimen)	0.52 %
Moisture Content	0.00 %
Temperature Compensation Factor	0.02 %
Test Temperature	538 C

Test 2 of 2

DIME Test ID: 2024-03-16-20-2

Test Method: AASHTO T209-22: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)