Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000996 DEA: 101S6404 EFIS: 1024000105
QA Service Level: 1
DIST-CO-RTE-PM: 10-MER-165-L0.0/7.0,8.7/16.5
Work Description: RESURFACE PAVEMENT WITH RHMA AND HMA.
Location Description: MERCED COUNTY IN AND NEAR LOS BANOS FROM 0.3 MILE SOUTH OF POLE LINE ROAD TO 0.2 MILE SOUTH OF MASON ROAD AND FROM 0.1 MILE SOUTH OF CANAL FARM LANE TO 1.4 MILES NORTH OF WOLFSEN ROAD
Contractor Name: A. TEICHERT & SON, INC. DBA TEICHERT CONSTRUCTION
Contractor Address: Unknown
Resident Engineer: Jagga Dhami Structure Rep.: Unknown
DIME Sample ID: 2025-12-03-43
TL Number from the TL Form:
Sample Submitted By Organization: Atlas - Denver
Sample Organization Contact: 303-975-9959
Type of Sample: Quality Assurance
Type of Material: Asphalt Rubber Binder
Sample Taken Date: 12/03/2025
Date that the sample was received by the laboratory/organization performing the testing: 12/04/2025
The quantity of what the sample constitutes: 1 CAN
A brief description of the sample: 1 CAN OF RUBBER
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Santa Fe Aggregate Winton
Asphalt modifier supplier:
Performance Grade: PG 64-16
Lot number:
Sublot number:
Asphalt Rubber Binder Mix Number:
DIME Test ID: 2025-12-03-43-4
Test Method: ASTM D217-21: Standard Test Methods for Cone Penetration of Lubricating Grease (Cone Penetration)
Verified Date: 01/09/2026
Date Tested: 01/02/2026
Submitted By Organization: Atlas - Denver
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: ian.broddrick@dot.ca.gov
Organization Phone: (916) 741-2680
General Comments for this Test: CONE PENETRATION
Test Result Compliance: complies
Additional Comments When Verified:
|
Determination
|
Unworked Penetration
|
|
Unworked Penetration
|
30 0.1 mm
|
DIME Test ID: 2025-12-03-43-5
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: 01/09/2026
Date Tested: 01/02/2026
Submitted By Organization: Atlas - Denver
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: ian.broddrick@dot.ca.gov
Organization Phone: (916) 741-2680
General Comments for this Test: RESILIENCE
Test Result Compliance: complies
Additional Comments When Verified:
|
Temperature
|
25 C
|
|
Ball Penetration (P1)
|
5 mm
|
|
Final Dial reading (F1)
|
72 mm
|
|
Ball Penetration (P2)
|
4 mm
|
|
Final Dial reading (F2)
|
72 mm
|
|
Ball Penetration (P3)
|
5 mm
|
|
Final Dial reading (F3)
|
71 mm
|
|
Resilience 1
|
33 %
|
|
Resilience 2
|
32 %
|
|
Resilience 3
|
34 %
|
|
Average Resilience
|
33 %
|
|
Minutes Reaction
|
no data
|
DIME Test ID: 2025-12-03-43-6
Test Method: ASTM D36-14ε1: Standard Test Method for Softening Point of Bitumen (Ring-and-Ball Apparatus) (Softening Point)
Verified Date: 01/09/2026
Date Tested: 12/31/2025
Submitted By Organization: Atlas - Denver
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: ian.broddrick@dot.ca.gov
Organization Phone: (916) 741-2680
General Comments for this Test: SOFTENING POINT
Test Result Compliance: complies
Additional Comments When Verified:
|
ASTM Thermometer used?
|
C
|
|
Softening Point Sample 1
|
64 C
|
|
Softening Point Sample 2
|
61 C
|
|
Bath Liquid
|
freshly boiled distilled water
|
|
Minutes Reaction
|
no data
|
