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Testing Report for 2021-03-17-39-2

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

Project Information

DEA: 033F5404
EFIS: 0313000136
Project ID: 214492
QA Service Level: 1
DIST-CO-RTE-PM: 03-SAC-99,160-4.5/5.7,R44.5
Work Description: FURNISH PRECAST PRESTRESSED CONCRETE SLAB & PLACE STRUCTURAL CONCRETE.
Location Description: SACRAMENTO COUNTY NEAR GALT ON ROUTE 99 FROM NORTH OF MINGO ROAD TO SOUTH OF ARNO ROAD OVERCROSSING AND IN SACRAMENTO ON ROUTE 160 AT AMERICAN RIVER BRIDGE
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Mohssen Ghassemi
Structure Rep.: Chris Quon

Sample Information

DIME Sample ID: 2021-03-17-39
TL Number from the TL Form: C 849137
Sample Submitted By Organization: CT D03 - North Region Materials Lab
Sample Organization Contact: (530) 741-4238
Type of Sample: Verification
Type of Material: Hot Mix Asphalt
Sample Taken Date: 3/17/2021
Date that the sample was received by the laboratory/organization performing the testing: 3/17/2021
The quantity of what the sample constitutes: 12 Boxes HMA-SP, JMF Verification
A brief description of the sample: 1/2" HMA - A (SP)
From where was the sample collected: Manufacturer
Laboratory sample identification: JMF21-014
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Teichert Perkins Batch Plant

Material Information

HMA Type: Type A HMA
HMA Grading: 1/2 inch
Lot number:
Sublot number:

Test Information

DIME Test ID: 2021-03-17-39-2
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: 5/21/2021
Verified Date: 6/14/2021
Submitted By Organization: CT D03 - North Region Materials Lab
Organization Address: 5330 Arboga Rd,
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: JMF21-014.
Test Result Compliance: not applicable
Additional Comments When Verified : JMF21-014

Submitted Test Results

Number of tests: 1
Mass Determination: Air
Method Performed: Mechanical Agitation - Method A
Mass of container filled with water: 7347.1 grams
Mass of oven-dry sample in air for Sample 1: 1845.6 grams
Mass of container filled with the sample and water for Sample 1: 8466.3 grams
Temperature of Water: 77 °F
Specific Gravity for Sample 1: 2.541