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Sample Record for 2020-08-14-34

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Project Information

Project ID: 214658 DEA: 051K7104 EFIS: 0518000232 QA Service Level: 1
DIST-CO-RTE-PM: 05-SLO-46,101-var
Work Description: PLACE METHACRYLATE DECK SEAL, POLYESTER CONCRETE OVERLAY, JOINT SEALS
Location Description: SAN LUIS OBISPO COUNTY IN AND NEAR PASO ROBLES AT VARIOUS LOCATIONS
Contractor Name: AMERICAN CIVIL CONSTRUCTORS WEST COAST LLC
Contractor Address: 2990 Bay Vista Court Suite D, Benicia, CA 94510
Resident Engineer: Johnny Rodriguez Structure Rep.: Salvador J 'Sal' Heredia,

Sample Information

DIME Sample ID: 2020-08-14-34
TL Number from the TL Form:
Sample Submitted By Organization: CT D05 - San Luis Obispo District Laboratory
Sample Organization Contact: (559) 230-3109
Type of Sample: Verification
Type of Material: Reclaimed Asphalt Pavement
Sample Taken Date: 08/14/2020
Date that the sample was received by the laboratory/organization performing the testing: 09/09/2020
The quantity of what the sample constitutes: One JMF Verification
A brief description of the sample: Bag of Belt Cut
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: SPM Templeton

Material Information

RAP Source: SPM Avenal
Aggregate Size:
Aggregate Source:
RAP Stockpile:
Stockpile Size (tons):
Reclaimed Asphalt Pavement Mix Number:
Test results on following page(s): 3

Test Results

Test 1 of 3

DIME Test ID: 2020-08-14-34-1
Test Method: AASHTO T30-19: Standard Method of Test for Mechanical Analysis of Extracted Aggregate (Mechanical Analysis)
Verified Date: 09/25/2020
Date Tested: 09/23/2020
Submitted By Organization: CT D05 - San Luis Obispo District Laboratory
Organization Address: 50 Higuera Street,
Organization City: San Luis Obispo
Organization State: CA
Organization Zipcode: 93401
Organization Email: glenn.johnson@dot.ca.gov
Organization Phone: (805) 549-3158
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Is an aggregate correction factor used? No
Cumulative percent passing the 2 in. sieve 100 %
Cumulative percent passing the 1 1/2 in. sieve 100 %
Cumulative percent passing the 1 in. sieve 100 %
Cumulative percent passing the 3/4 in. sieve 100 %
Cumulative percent passing the 1/2 in. sieve 99.3 %
Cumulative percent passing the 3/8 in. sieve 95 %
Cumulative percent passing the #4 sieve 75.6 %
Cumulative percent passing the #8 sieve 60.9 %
Cumulative percent passing the #16 sieve 46.5 %
Cumulative percent passing the #30 sieve 35.1 %
Cumulative percent passing the #50 sieve 23.7 %
Cumulative percent passing the #100 sieve 14.4 %
Cumulative percent passing the #200 sieve 9.3 %

Test 2 of 3

DIME Test ID: 2020-08-14-34-2
Test Method: AASHTO T308-10: Standard Method of Test for Determining the Asphalt Binder Content of Hot Mix Asphalt (HMA) by the Ignition Method (Method A) (Asphalt Binder Content)
Verified Date: 09/25/2020
Date Tested: 09/14/2020
Submitted By Organization: CT D05 - San Luis Obispo District Laboratory
Organization Address: 50 Higuera Street,
Organization City: San Luis Obispo
Organization State: CA
Organization Zipcode: 93401
Organization Email: glenn.johnson@dot.ca.gov
Organization Phone: (805) 549-3158
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
What temperature unit is used? Fahrenheit
Test procedure used? Method A
Mass of HMA Sample prior to ignition 1691.7 g
Corrected Asphalt Binder Content 6.32 %
Mass Loss no data
Correction Factor (Percent by mass of HMA Specimen) no data
Moisture Content 0.00 %
Temperature Compensation Factor no data
Test Temperature 1000 F

Test 3 of 3

DIME Test ID: 2020-08-14-34-3
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: 09/25/2020
Date Tested: 09/23/2020
Submitted By Organization: CT D05 - San Luis Obispo District Laboratory
Organization Address: 50 Higuera Street,
Organization City: San Luis Obispo
Organization State: CA
Organization Zipcode: 93401
Organization Email: glenn.johnson@dot.ca.gov
Organization Phone: (805) 549-3158
General Comments for this Test: Used section 15 supplemental procedure for porous aggregates.
Test Result Compliance:
Additional Comments When Verified:
Number of tests 1
What is the unit of measurement for theoretical density? US Units
Mass Determination Air
Specific Gravity for Sample 1 2.506
Theoretical maximum density at 25°C (77°F) no data