Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994116 DEA: 010J4104 EFIS: 0119000025
QA Service Level: 1
DIST-CO-RTE-PM: 01-HUM-299-30.7/33.4
Work Description: Project Name: HUM-299 Curve Improvement
Location Description: HUMBOLDT COUNTY NEAR WILLOW CREEK FROM 0.1 MILE EAST OF CEDAR CREEK ROAD TO 0.1 MILE EAST OF EAST FORK WILLOW CREEK BRIDGE
Contractor Name: McCullough Construction Inc.
Contractor Address: 57 Alder Grove Road, Arcata, CA 95521
Resident Engineer: Ethan Retherford Structure Rep.: Laura Cangas
DIME Sample ID: 2025-09-24-88
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: 09/24/2025
Date that the sample was received by the laboratory/organization performing the testing: 09/26/2025
The quantity of what the sample constitutes: 1 can of rubber
A brief description of the sample: rubber
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: McCullough Construction Inc
Asphalt modifier supplier:
Performance Grade: PG 64-16
Lot number:
Sublot number:
Asphalt Rubber Binder Mix Number:
DIME Test ID: 2025-09-24-88-4
Test Method: ASTM D217-21: Standard Test Methods for Cone Penetration of Lubricating Grease (Cone Penetration)
Verified Date: 12/30/2025
Date Tested: 12/29/2025
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: CONE PENETRATION
Test Result Compliance: complies
Additional Comments When Verified:
|
Determination
|
Unworked Penetration
|
|
Unworked Penetration
|
31 0.1 mm
|
DIME Test ID: 2025-09-24-88-5
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: 12/30/2025
Date Tested: 12/30/2025
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: RESILIENCE
Test Result Compliance: complies
Additional Comments When Verified:
|
Temperature
|
25 C
|
|
Ball Penetration (P1)
|
5 mm
|
|
Final Dial reading (F1)
|
68 mm
|
|
Ball Penetration (P2)
|
5 mm
|
|
Final Dial reading (F2)
|
68 mm
|
|
Ball Penetration (P3)
|
5 mm
|
|
Final Dial reading (F3)
|
70 mm
|
|
Resilience 1
|
37 %
|
|
Resilience 2
|
37 %
|
|
Resilience 3
|
35 %
|
|
Average Resilience
|
36 %
|
|
Minutes Reaction
|
no data
|
DIME Test ID: 2025-09-24-88-6
Test Method: ASTM D36-14ε1: Standard Test Method for Softening Point of Bitumen (Ring-and-Ball Apparatus) (Softening Point)
Verified Date: 12/30/2025
Date Tested: 12/30/2025
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?
|
F
|
|
Softening Point Sample 1
|
150 F
|
|
Softening Point Sample 2
|
151 F
|
|
Bath Liquid
|
freshly boiled distilled water
|
|
Minutes Reaction
|
no data
|
