Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000513 DEA: 020J8504 EFIS: 0219000168
QA Service Level: 1
DIST-CO-RTE-PM: 02-SIS-89-21/R34.622
Work Description: MCCLOUD CAPM - PAVEMENT REHABILITATION
Location Description: IN SISKIYOU COUNTY AT AND NEAR MCCLOUD FROM 0.1 MILE SOUTH OF MUD CREEK BRIDGE TO ROUTE 5
Contractor Name: TULLIS, INC.
Contractor Address: Unknown
Resident Engineer: Austin Henry Structure Rep.: Unknown
DIME Sample ID: 2026-03-23-82
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Quality Assurance
Type of Material: Asphalt Binder
Sample Taken Date: 03/23/2026
Date that the sample was received by the laboratory/organization performing the testing: 05/22/2026
The quantity of what the sample constitutes: 2 CANS OF 58-22
A brief description of the sample: 58-22
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Albina - Klamath Falls, OR
Performance Grade: PG 58-22
Modified:
Lot number:
Sublot number:
Tank number:
Time of sample:
HMA Supplier:
Certified Asphalt Supplier: Albina Asphalt - Klamath Falls - Klamath Falls OR
Multigrade: No
Multigrade Type:
Asphalt Binder Mix Number:
HMA Type:
HMA Supplier Mix ID Number:
DIME Test ID: 2026-03-23-82-1
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: 05/26/2026
Date Tested: 05/26/2026
Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (530) 713-6823
General Comments for this Test: OG
Test Result Compliance: does not comply
Additional Comments When Verified:
|
Phase
|
Original binder
|
|
Test Gap
|
1 mm
|
|
Test Frequency
|
10.0 rad/s
|
|
Strain Amplitude
|
12.06 %
|
|
Stress Amplitude
|
0.267 kPa
|
|
Phase Angle (δ) (for the 10 cycles)
|
84.6 degree
|
|
Complex Modulus (G*) (for the 10 measurements)
|
2.210 kPa
|
|
Test Temperature (Specimen 1)
|
58.0 C
|
|
Dynamic Shear, G*/sin(δ)
|
2.22 kPa
|
