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Testing Report for 2021-06-04-19-1

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

Project Information

DEA: 032G1504
EFIS: 0320000234
Project ID: 215626
QA Service Level: 1
DIST-CO-RTE-PM: 03-PLA-193-3.0/10.1
Work Description: COLD PLANE AC PAVEMENT & RHMA OVERLAY.
Location Description: PLACER COUNTY NEAR LINCOLN FROM SIERRA COLLEGE BOULEVARD TO OPHIR ROAD
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Martin Clark
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-06-04-19
TL Number from the TL Form:
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: 6/4/2021
Date that the sample was received by the laboratory/organization performing the testing: 6/22/2021
The quantity of what the sample constitutes: 32 boxes of mix
A brief description of the sample: 1/2" Rhma-g
From where was the sample collected: Supplier
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Teichart-Hallwood Drum Plant

Material Information

HMA Type: RHMA-G
HMA Grading: 1/2 inch
Lot number:
Sublot number:

Test Information

DIME Test ID: 2021-06-04-19-1
Test Method: AASHTO T275-07r12: Standard Method of Test for Bulk Specific Gravity (Gmb) of Compacted Asphalt Mixtures Using Paraffin-Coated Specimens (Bulk Specific Gravity)
Date Tested: 6/25/2021
Verified Date: 8/5/2021
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: JMF 21-030 Report only
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Bulk Specific Gravity: 2.383
Bulk Specific Gravity 2: 2.382
Bulk Specific Gravity 3: 2.381
Average Bulk Specific Gravity: 2.382