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Testing Report for 2019-04-25-18-2

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

Project Information

Project ID: 210808 DEA: 020E0904 EFIS: 0200000016 QA Service Level: 1
DIST-CO-RTE-PM: 02-SHA-5-R29.3/R31.1,R45.0/R45.8
Work Description: REPLACE BRIDGE, REALIGN ROADWAY AND SEISMIC RETROFIT
Location Description: IN SHASTA COUNTY ABT 8 MI N OF SHASTA LAKE CTY AND NEAR LAKEHEAD FRM TURNTABLE BAY O/C TO 0.1 MI N OF O'BRIEN SRRA & FRM 0.4 MI S TO 0.3 MI N OF DOG CREEK BRIDGE.
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Nathan Alexander Structure Rep.: Christopher S 'Chris' Brace

Sample Information

DIME Sample ID: 2019-04-25-18
TL Number from the TL Form: 001901
Sample Submitted By Organization: CT D02 - North Region Materials Lab
Sample Organization Contact: (530) 225-3194
Type of Sample: Verification
Type of Material: Hot Mix Asphalt
Sample Taken Date: 04/25/2019
Date that the sample was received by the laboratory/organization performing the testing: 04/25/2019
The quantity of what the sample constitutes: JMF Verification
A brief description of the sample: 3/4-inch Type A HMA (eq. PG 64-28 M)
From where was the sample collected: Manufacturer
Laboratory sample identification: D77851
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Northstate Asphalt

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number: 0
Sublot number: 0

Test Information

DIME Test ID: 2019-04-25-18-2
Test Method: AASHTO T209-12: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)
Verified Date: 05/29/2019
Date Tested: 04/25/2019
Submitted By Organization: CT D02 - North Region Materials Lab
Organization Address: 1657 Riverside Dr,MS-83
Organization City: Redding
Organization State: CA
Organization Zipcode: 96001
Organization Email: ward.jenkins@dot.ca.gov
Organization Phone: (530) 225-3194
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Number of tests 1
Mass Determination Air
Method Performed no data
Mass of container filled with water 7372.0 grams
Mass of oven-dry sample in air for Sample 1 2566.0 grams
Mass of container filled with the sample and water for Sample 1 8922.0 grams
Temperature of Water 25 °F
Specific Gravity for Sample 1 2.527