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Sample Record for 2025-09-09-98

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

Project Information

Project ID: 1000963 DEA: 09398504 EFIS: 0924000059 QA Service Level: 1
DIST-CO-RTE-PM: 09-MNO-395-R44.6/50.7
Work Description: ASPHALTIC EMULSION (FOG SEAL COAT) & PRECOATED AGGREGATE (SEAL COAT).
Location Description: MONO COUNTY NEAR LEE VINING FROM 0.3 MILE SOUTH OF OLD WEST PORTAL ROAD TO 0.2 MILE SOUTH OF UTILITY ROAD
Contractor Name: AMERICAN PAVEMENT SYSTEMS, INC.
Contractor Address: Unknown
Resident Engineer: Scott Eagan Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2025-09-09-98
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 Binder
Sample Taken Date: 09/09/2025
Date that the sample was received by the laboratory/organization performing the testing: 09/30/2025
The quantity of what the sample constitutes: 1can
A brief description of the sample: Asphalt Binder Sample
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: silo

Material Information

Performance Grade: PG 58-22
Modified:
Lot number:
Sublot number:
Tank number:
Time of sample:
HMA Supplier:
Certified Asphalt Supplier: San Joaquin Refinery - Bakersfield CA
Multigrade: No
Multigrade Type:
Asphalt Binder Mix Number:

Test Results

Test 1 of 3

DIME Test ID: 2025-09-09-98-1
Test Method: AASHTO T315-24: Standard Method of Test for Determining the Rheological Properties of Asphalt Binder Using a Dynamic Shear Rheometer (DSR) (Dynamic Shear)
Verified Date: 11/20/2025
Date Tested: 11/19/2025
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:
Phase RTFO residue
Phase Angle (δ) (for the 10 cycles) 84.2 degree
Dynamic Shear, G*/sin(δ) 3.21 kPa

Test 2 of 3

DIME Test ID: 2025-09-09-98-2
Test Method: AASHTO T315-24: Standard Method of Test for Determining the Rheological Properties of Asphalt Binder Using a Dynamic Shear Rheometer (DSR) (Dynamic Shear)
Verified Date: 11/20/2025
Date Tested: 11/19/2025
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:
Phase Original binder
Phase Angle (δ) (for the 10 cycles) 87.6 degree
Dynamic Shear, G*/sin(δ) 1.29 kPa

Test 3 of 3

DIME Test ID: 2025-09-09-98-3
Test Method: AASHTO T51-22: Standard Method of Test for Ductility of Asphalt Materials (Asphalt Binder)
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
Data has not been verified.