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Testing Report for 2020-08-14-34-3

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

Project Information

DEA: 051K7104
EFIS: 0518000232
Project ID: 214658
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: Unknown
Contractor Address: Unknown
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 - Field Laboratory
Sample Organization Contact: (559) 230-3109
Type of Sample: Verification
Type of Material: Reclaimed Asphalt Pavement
Sample Taken Date: 8/14/2020
Date that the sample was received by the laboratory/organization performing the testing: 9/9/2020
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):

Test Information

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)
Date Tested: 9/23/2020
Verified Date: 9/25/2020
Submitted By Organization: CT D05 - Field Laboratory
Organization Address: 50 Higuera St,
Organization City: San Luis Obispo
Organization State: CA
Organization Zipcode: 93401
Organization Email: doug.lambert@dot.ca.gov
Organization Phone: (559) 230-3109
General Comments for this Test: Used section 15 supplemental procedure for porous aggregates.
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

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