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Sample Record for 2021-03-10-5

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

Project Information

Project ID: 66667 DEA: JMFPP EFIS: 0019000043 QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for submitting Sample information for JMF Prequalification Program.
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-03-10-5
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Verification
Type of Material: Reclaimed Asphalt Pavement
Sample Taken Date: 03/10/2021
Date that the sample was received by the laboratory/organization performing the testing: 03/10/2021
The quantity of what the sample constitutes: 2 bags
A brief description of the sample: RAP
From where was the sample collected: Supplier
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Syar Industries Inc

Material Information

RAP Source: Stockpile
Aggregate Size:
Aggregate Source:
RAP Stockpile:
Stockpile Size (tons):
Reclaimed Asphalt Pavement Mix Number:

Test Results

Test 1 of 2

DIME Test ID: 2021-03-10-5-1
Test Method: AASHTO T30-19: Standard Method of Test for Mechanical Analysis of Extracted Aggregate (Mechanical Analysis)
Verified Date: 03/30/2021
Date Tested: 03/19/2021
Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Boulevard, Room 225,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (916) 227-7302
General Comments for this Test:
Test Result Compliance: not applicable
Additional Comments When Verified:
Is an aggregate correction factor used? No
Cumulative percent passing the 2 in. sieve 100 %
Cumulative percent passing the 1 1/2 in. sieve 100 %
Cumulative percent passing the 1 in. sieve 100 %
Cumulative percent passing the 3/4 in. sieve 100 %
Cumulative percent passing the 1/2 in. sieve 100 %
Cumulative percent passing the 3/8 in. sieve 99.2 %
Cumulative percent passing the #4 sieve 76.6 %
Cumulative percent passing the #8 sieve 53 %
Cumulative percent passing the #16 sieve 37.2 %
Cumulative percent passing the #30 sieve 28.2 %
Cumulative percent passing the #50 sieve 20.5 %
Cumulative percent passing the #100 sieve 12.8 %
Cumulative percent passing the #200 sieve 9.0 %

Test 2 of 2

DIME Test ID: 2021-03-10-5-2
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: 03/30/2021
Date Tested: 03/19/2021
Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Boulevard, Room 225,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (916) 227-7302
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Number of tests 1
What is the unit of measurement for theoretical density? US Units
Mass Determination Air
Specific Gravity for Sample 1 2.533
Theoretical maximum density at 25°C (77°F) no data