Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994586 DEA: 081C08U4 EFIS: 0822000142
QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-10-R134.0/R156.5
Work Description: PLACE HMA (TYPE A), JPCP, IMPORTED BORROW, ROADWAY EXCAVATION & CL2 AB
Location Description: RIVERSIDE COUNTY FROM 1.1 MILES WEST OF WILEY WELL ROAD OVERCROSSING TO CALIFORNIA/ARIZONA STATE LINE
Contractor Name: FISHER SAND & GRAVEL CO.
Contractor Address: 19062 San Jose Avenue, LA Puente, CA 91748
Resident Engineer: Ryan Espoy (cc on Reports) Structure Rep.: Tim Flores
DIME Sample ID: 2025-09-04-118
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: 09/04/2025
Date that the sample was received by the laboratory/organization performing the testing: 09/16/2025
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: Fisher Sand and Gravel-Tempe
Asphalt modifier supplier:
Performance Grade: PG 64-16
Lot number:
Sublot number:
Asphalt Rubber Binder Mix Number:
DIME Test ID: 2025-09-04-118-1
Test Method: ASTM D36-14ε1: Standard Test Method for Softening Point of Bitumen (Ring-and-Ball Apparatus) (Softening Point)
Verified Date: 03/12/2026
Date Tested: 03/06/2026
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
|
64 C
|
|
Softening Point Sample 2
|
64 C
|
|
Bath Liquid
|
freshly boiled distilled water
|
|
Minutes Reaction
|
no data
|
DIME Test ID: 2025-09-04-118-2
Test Method: ASTM D217-21: Standard Test Methods for Cone Penetration of Lubricating Grease (Cone Penetration)
Verified Date: 03/12/2026
Date Tested: 03/06/2026
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
|
Worked Penetration
|
|
Worked Penetration
|
30 0.1 mm
|
DIME Test ID: 2025-09-04-118-3
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: 03/12/2026
Date Tested: 03/06/2026
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)
|
no data0 mm
|
|
Final Dial reading (F1)
|
55 mm
|
|
Ball Penetration (P2)
|
2 mm
|
|
Final Dial reading (F2)
|
53 mm
|
|
Ball Penetration (P3)
|
1 mm
|
|
Final Dial reading (F3)
|
55 mm
|
|
Resilience 1
|
45 %
|
|
Resilience 2
|
49 %
|
|
Resilience 3
|
46 %
|
|
Average Resilience
|
47 %
|
|
Minutes Reaction
|
no data
|
