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Testing Report for 2019-01-24-17-3

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: 2019-01-24-17
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: Reclaimed Asphalt Pavement
Sample Taken Date: 1/24/2019
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 1
A brief description of the sample: 3/4 Inch HMA-A
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Deer Creek Porterville

Material Information

RAP Source: Stockpile
Aggregate Size:
Aggregate Source:
RAP Stockpile:
Stockpile Size (tons):

Test Information

DIME Test ID: 2019-01-24-17-3
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: 1/24/2019
Verified Date: 4/10/2019
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: RAP Sample 2 T-209
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Number of tests: 1
Mass Determination: Water
Specific Gravity for Sample 1: 2.622