Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1001468 DEA: 081L2404 EFIS: 0819000167
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-95-R57.2/64.5
Work Description: RHMA (GAP GRADED), REPLACE AC SURFACING, AND COLD PLANE AC PVMT.
Location Description: SAN BERNARDINO COUNTY NEAR NEEDLES FROM ROUTE 40/95 SEPARATION TO 0.5 MILE NORTH OF GOFFS ROAD
Contractor Name: SULLY - MILLER CONTRACTING COMPANY
Contractor Address: 135 S STATE COLLEGE BLVD. 400, BREA, CA 92821
Resident Engineer: Anthony Doan Structure Rep.: Unknown
DIME Sample ID: 2026-03-17-43
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: 03/17/2026
Date that the sample was received by the laboratory/organization performing the testing: 03/18/2026
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: Blue Diamond-Victorville
Performance Grade: PG 64-16
Modified:
Lot number:
Sublot number:
Tank number:
Time of sample:
HMA Supplier:
Certified Asphalt Supplier: Lunday Thagard Company-World Oil - South Gate CA
Multigrade: No
Multigrade Type:
Asphalt Binder Mix Number:
DIME Test ID: 2026-03-17-43-1
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: 04/07/2026
Date Tested: 04/07/2026
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:
|
Phase
|
RTFO residue
|
|
Phase Angle (δ) (for the 10 cycles)
|
86.9 degree
|
|
Dynamic Shear, G*/sin(δ)
|
4.50 kPa
|
DIME Test ID: 2026-03-17-43-2
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: 04/07/2026
Date Tested: 04/07/2026
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:
|
Phase
|
Original binder
|
|
Phase Angle (δ) (for the 10 cycles)
|
86.9 degree
|
|
Dynamic Shear, G*/sin(δ)
|
1.48 kPa
|
DIME Test ID: 2026-03-17-43-3
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.
