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Sample Record for 2025-10-21-60

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

Project Information

Project ID: 995119 EFIS: 0319000004 QA Service Level: 1
DIST-CO-RTE-PM: 03-PLA-49-R8.7/R10.6
Work Description: CONC BARRIER, JPCP, HMA, RDWY EXC, RCP AND LIGHTING.
Location Description: PLACER COUNTY NEAR AUBURN FROM 0.3 MILE SOUTH OF LORENSEN ROAD/FLORENCE LANE TO 0.4 MILE NORTH OF LONE STAR ROAD
Contractor Name: DESILVA GATES CONSTRUCTION, LLC
Contractor Address: Unknown
Resident Engineer: Jeff Johnson Structure Rep.: Asia Al Maliki

Sample Information

DIME Sample ID: 2025-10-21-60
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: 10/21/2025
Date that the sample was received by the laboratory/organization performing the testing: 11/14/2025
The quantity of what the sample constitutes: 1 Can
A brief description of the sample: RHMA Blend
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: DeSilva Gates Marysville

Material Information

Asphalt modifier supplier: San Joaquin Refining
Performance Grade: PG 64-16
Lot number:
Sublot number:
Asphalt Rubber Binder Mix Number: 6653

Test Results

Test 1 of 3

DIME Test ID: 2025-10-21-60-5
Test Method: ASTM D217-21: Standard Test Methods for Cone Penetration of Lubricating Grease (Cone Penetration)
Verified Date: 01/20/2026
Date Tested: 01/13/2026
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 22 0.1 mm

Test 2 of 3

DIME Test ID: 2025-10-21-60-6
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: 01/20/2026
Date Tested: 01/14/2026
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) 3 mm
Final Dial reading (F1) 55 mm
Ball Penetration (P2) 3 mm
Final Dial reading (F2) 58 mm
Ball Penetration (P3) no data0 mm
Final Dial reading (F3) 51 mm
Resilience 1 48 %
Resilience 2 45 %
Resilience 3 49 %
Average Resilience 47 %
Minutes Reaction no data

Test 3 of 3

DIME Test ID: 2025-10-21-60-7
Test Method: ASTM D36-14ε1: Standard Test Method for Softening Point of Bitumen (Ring-and-Ball Apparatus) (Softening Point)
Verified Date: 01/20/2026
Date Tested: 01/20/2026
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: SOFTENING POINT
Test Result Compliance: complies
Additional Comments When Verified:
ASTM Thermometer used? F
Softening Point Sample 1 158 F
Softening Point Sample 2 159 F
Bath Liquid freshly boiled distilled water
Minutes Reaction no data