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Sample Record for 2025-09-22-54

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

Project Information

Project ID: 1000962 DEA: 09398404 EFIS: 0924000045 QA Service Level: 1
DIST-CO-RTE-PM: 09-INY-395-T122.0/R129.5
Work Description: ASPHALTIC EMULSION (FOG SEAL COAT) & PRECOATED AGGREGATE (SEAL COAT).
Location Description: INYO COUNTY IN AND NEAR MESA FROM 0.4 MILE SOUTH OF PLEASANT VALLEY DAM ROAD TO 1.3 MILES NORTH OF GORGE ROAD
Contractor Name: AMERICAN PAVEMENT SYSTEMS, INC.
Contractor Address: Unknown
Resident Engineer: Garrett Rottner Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2025-09-22-54
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Verification
Type of Material: Asphalt Rubber Binder
Sample Taken Date: 09/22/2025
Date that the sample was received by the laboratory/organization performing the testing: 10/09/2025
The quantity of what the sample constitutes: 1can
A brief description of the sample: Asphalt Rubber Binder
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: BOOT TRUCK

Material Information

Asphalt modifier supplier:
Performance Grade: PG 64-16
Lot number:
Sublot number:
Asphalt Rubber Binder Mix Number:

Test Results

Test 1 of 3

DIME Test ID: 2025-09-22-54-1
Test Method: ASTM D36-14ε1: Standard Test Method for Softening Point of Bitumen (Ring-and-Ball Apparatus) (Softening Point)
Verified Date: 10/16/2025
Date Tested: 10/15/2025
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: (909) 829-3029
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
ASTM Thermometer used? C
Softening Point Sample 1 60 C
Softening Point Sample 2 60 C
Bath Liquid freshly boiled distilled water
Minutes Reaction no data

Test 2 of 3

DIME Test ID: 2025-09-22-54-2
Test Method: ASTM D217-21: Standard Test Methods for Cone Penetration of Lubricating Grease (Cone Penetration)
Verified Date: 10/16/2025
Date Tested: 10/15/2025
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: (909) 829-3029
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Determination Unworked Penetration
Unworked Penetration 67 0.1 mm

Test 3 of 3

DIME Test ID: 2025-09-22-54-3
Test Method: ASTM D5329-20: Standard Test Methods for Sealants and Fillers, Hot-Applied, for Joints and Cracks in Asphalt Pavements and Portland Cement Concrete Pavements (Asphalt Pavement)
Verified Date: 10/16/2025
Date Tested: 10/15/2025
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: (909) 829-3029
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Temperature 25 C
Ball Penetration (P1) 11 mm
Final Dial reading (F1) 82 mm
Ball Penetration (P2) 11 mm
Final Dial reading (F2) 82 mm
Ball Penetration (P3) 10 mm
Final Dial reading (F3) 80 mm
Resilience 1 29 %
Resilience 2 29 %
Resilience 3 30 %
Average Resilience 29 %
Minutes Reaction no data