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: 2026-06-17-91
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 Rubber Binder
Sample Taken Date: 06/17/2026
Date that the sample was received by the laboratory/organization performing the testing: 06/26/2026
The quantity of what the sample constitutes: 2 CANS
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: Albina - Klamath Falls, OR
Asphalt modifier supplier:
Performance Grade: PG 64-16
Lot number:
Sublot number:
Asphalt Rubber Binder Mix Number:
DIME Test ID: 2026-06-17-91-1
Test Method: ASTM D217-21: Standard Test Methods for Cone Penetration of Lubricating Grease (Cone Penetration)
Verified Date: 07/02/2026
Date Tested: 07/02/2026
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: CONE PENETRATION
Test Result Compliance: complies
Additional Comments When Verified:
|
Determination
|
Unworked Penetration
|
|
Unworked Penetration
|
46 0.1 mm
|
DIME Test ID: 2026-06-17-91-2
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: 07/02/2026
Date Tested: 07/02/2026
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: RESILIENCE REBOUND
Test Result Compliance: complies
Additional Comments When Verified:
|
Temperature
|
25 C
|
|
Ball Penetration (P1)
|
2 mm
|
|
Final Dial reading (F1)
|
60 mm
|
|
Ball Penetration (P2)
|
2 mm
|
|
Final Dial reading (F2)
|
60 mm
|
|
Ball Penetration (P3)
|
3 mm
|
|
Final Dial reading (F3)
|
62 mm
|
|
Resilience 1
|
42 %
|
|
Resilience 2
|
42 %
|
|
Resilience 3
|
41 %
|
|
Average Resilience
|
42 %
|
|
Minutes Reaction
|
no data
|
DIME Test ID: 2026-06-17-91-3
Test Method: ASTM D36-14ε1: Standard Test Method for Softening Point of Bitumen (Ring-and-Ball Apparatus) (Softening Point)
Verified Date: 07/02/2026
Date Tested: 07/02/2026
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: SOFTENING POINT
Test Result Compliance: complies
Additional Comments When Verified:
|
ASTM Thermometer used?
|
C
|
|
Softening Point Sample 1
|
62 C
|
|
Softening Point Sample 2
|
62 C
|
|
Bath Liquid
|
freshly boiled distilled water
|
|
Minutes Reaction
|
no data
|
