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Testing Report for 2021-06-30-36-4

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

Project Information

DEA: 032G1104
EFIS: 0320000230
Project ID: 215572
QA Service Level: 1
DIST-CO-RTE-PM: 03-GLE-162-66.6/76.3
Work Description: PLACE RHMA AND COLD IN-PLACE RECYCLE.
Location Description: GLENN COUNTY IN AND NEAR WILLOWS FROM 0.2 MILE EAST OF N SHASTA STREET TO 1.0 MILE EAST OF ROAD X
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Dan Reechs
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-06-30-36
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: 6/30/2021
Date that the sample was received by the laboratory/organization performing the testing: 7/26/2021
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: Knife River Construction - Orland Drum Plant

Material Information

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

Test Information

DIME Test ID: 2021-06-30-36-4
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: 8/6/2021
Verified Date: 8/6/2021
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 21-035 Report only.
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Number of tests: 1
Mass Determination: Air
Specific Gravity for Sample 1: 2.456