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Testing Report for 2021-04-13-35-2

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

Project Information

DEA: 024E4504
EFIS: 0200020286
Project ID: 212496
QA Service Level: 1
DIST-CO-RTE-PM: 02-LAS,MOD-139,299-VAR
Work Description: PLACE HMA, REPLACE DRAINAGE, CULVERT, ELECTRICAL AND LIGHTING SYSTEMS.
Location Description: LASSEN AND MODOC COUNTIES ON ROUTE 139 AT 0.1 MILE NORTH OF LASSEN COUNTY LINE AND ON ROUTE 299 AT VARIOUS LOCATONS FROM 0.4 MILE WEST OF BOYD HILL LOOKOUT ROAD TO 0.6 MILE EAST OF COUNTY ROAD 87
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Mike Zdenek
Structure Rep.: Chris Brace

Sample Information

DIME Sample ID: 2021-04-13-35
TL Number from the TL Form: 037261
Sample Submitted By Organization: CT D02 - North Region Materials Lab
Sample Organization Contact: (530) 225-3194
Type of Sample: Verification
Type of Material: Hot Mix Asphalt
Sample Taken Date: 4/13/2021
Date that the sample was received by the laboratory/organization performing the testing: 4/14/2021
The quantity of what the sample constitutes: JMF Verification
A brief description of the sample: 3/4-inch Type A HMA (eq. PG 64-28 M)
From where was the sample collected: Manufacturer
Laboratory sample identification: D78775
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Hat Creek Construction and Materials - Shaw Pit Facility - Lookout, CA

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number:
Sublot number:

Test Information

DIME Test ID: 2021-04-13-35-2
Test Method: AASHTO T209-12: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)
Date Tested: 4/14/2021
Verified Date: 6/10/2021
Submitted By Organization: CT D02 - North Region Materials Lab
Organization Address: 1657 Riverside Dr,MS-83
Organization City: Redding
Organization State: CA
Organization Zipcode: 96001
Organization Email: ward.jenkins@dot.ca.gov
Organization Phone: (530) 225-3194
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Number of tests: 1
Mass Determination: Air
Method Performed: Mechanical Agitation - Method A
Mass of container filled with water: 7336.6 grams
Mass of oven-dry sample in air for Sample 1: 2505.3 grams
Mass of container filled with the sample and water for Sample 1: 8813.6 grams
Temperature of Water: 77 °F
Specific Gravity for Sample 1: 2.436