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Testing Report for 2020-04-24-20-3

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

Project Information

DEA: 030H4804
EFIS: 0315000198
Project ID: 214175
QA Service Level: 1
DIST-CO-RTE-PM: 03-SAC-99-0.1/1.6,11.8/21.6
Work Description: COLD PLANE AC PAVEMENT AND RHMA OVERLAY.
Location Description: SACRAMENTO COUNTY IN AND NEAR GALT FROM DRY CREEK BRIDGE TO SIMMERHORN ROAD AND IN ELK GROVE AND SACRAMENTO FROM 0.9 MILE SOUTH OF ELK GROVE BOULEVARD TO MARTIN LUTHER KING JR BOULEVARD
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Sushma Lee
Structure Rep.: Kim Noonan

Sample Information

DIME Sample ID: 2020-04-24-20
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: 4/24/2020
Date that the sample was received by the laboratory/organization performing the testing: 4/24/2020
The quantity of what the sample constitutes: JMF Verification
A brief description of the sample: 1/2 inch RHMA-G
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: George Reed - Clements Plant

Material Information

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

Test Information

DIME Test ID: 2020-04-24-20-3
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: 4/28/2020
Verified Date: 9/23/2020
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 20-012
Test Result Compliance: not applicable
Additional Comments When Verified : JMF 20-012

Submitted Test Results

Number of tests: 1
Mass Determination: Air
Specific Gravity for Sample 1: 2.506