Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1001564 DEA: 030J4104 EFIS: 0319000281
QA Service Level: 1
DIST-CO-RTE-PM: 03-PLA-80-33.0/44.9
Work Description: COLD PLANE AC PVMT, HMA, CLASS 2 AB, RDWY EXC, MGS, & RCP.
Location Description: PLACER COUNTY IN AND NEAR COLFAX FROM 0.1 MILE WEST OF ROUTE 174/80 SEPARATION TO 0.1 MILE EAST OF ALTA ROAD UNDERCROSSING
Contractor Name: A. TEICHERT & SON, INC. DBA TEICHERT CONSTRUCTION
Contractor Address: 4401 Duluth Ave, Rocklin, CA 95765
Resident Engineer: Brigette Haddock Structure Rep.: Unknown
DIME Sample ID: 2026-06-21-10
TL Number from the TL Form:
Sample Submitted By Organization: Blackburn Consulting
Sample Organization Contact: (916) 375-8706
Type of Sample: Quality Assurance
Type of Material: Asphalt Binder
Sample Taken Date: 06/21/2026
Date that the sample was received by the laboratory/organization performing the testing: 06/22/2026
The quantity of what the sample constitutes: 1 Can
A brief description of the sample: PG 58-22
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: PNW
Performance Grade: PG 58-22
Modified: No
Lot number: 1
Sublot number: 1
Tank number:
Time of sample:
HMA Supplier: Teichert Hallwood
Certified Asphalt Supplier: Pacific Northwest Oil - Stockton CA
Multigrade: No
Multigrade Type:
Asphalt Binder Mix Number: 30940132416P
DIME Test ID: 2026-06-21-10-1
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: 06/24/2026
Date Tested: 06/24/2026
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: complies
Additional Comments When Verified:
|
Phase
|
Original binder
|
|
Test Gap
|
1 mm
|
|
Test Frequency
|
10.0 rad/s
|
|
Strain Amplitude
|
12.06 %
|
|
Stress Amplitude
|
0.204 kPa
|
|
Phase Angle (δ) (for the 10 cycles)
|
87.0 degree
|
|
Complex Modulus (G*) (for the 10 measurements)
|
1.690 kPa
|
|
Test Temperature (Specimen 1)
|
58.0 C
|
|
Dynamic Shear, G*/sin(δ)
|
1.69 kPa
|
