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Testing Report for 2019-01-17-16-2

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

Project Information

DEA: JMFPP
EFIS: 0019000043
Project ID: 66667
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: 2019-01-17-16
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Hot Mix Asphalt Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Quality Control
Type of Material: Hot Mix Asphalt
Sample Taken Date: 1/17/2019
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: JMF
A brief description of the sample: 1/2" HMA-SP RAP WMA
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Syar industry

Material Information

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

Test Information

DIME Test ID: 2019-01-17-16-2
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: 1/17/2019
Verified Date: 3/29/2019
Submitted By Organization: CT HQ - Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Blvd,
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: HMA design data T-275
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Bulk Specific Gravity: 2.357