Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1001563 DEA: 020J5504 EFIS: 0219000135
QA Service Level: 1
DIST-CO-RTE-PM: 02-SIS-161-4.5/9.1
Work Description: FULL DEPTH RECYCLING-CEMENT, PLACE HMA & REPLACE INTERPRETIVE DISPLAY.
Location Description: SISKIYOU COUNTY NEAR DORRIS FROM 4.5 MILES EAST OF ROUTE 97 TO 2.1 MILES WEST OF FUGATE ROAD
Contractor Name: Rocky Mountain Construction
Contractor Address: 4815 Tingley Lane, #A, Klamath Falls, OR 97603
Resident Engineer: Austin Henry Structure Rep.: Unknown
DIME Sample ID: 2026-09-15-79
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: 09/15/2026
Date that the sample was received by the laboratory/organization performing the testing: 10/02/2026
The quantity of what the sample constitutes: 1 of 2 cans
A brief description of the sample: 2 CANS OF PG 58-22
From where was the sample collected: Job Site
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: ROCKY MOUNTAIN CONST.- NORTH PIT
Certified Asphalt Supplier: Albina Asphalt - Klamath Falls - Klamath Falls OR
Multigrade: No
Multigrade Type:
Asphalt Binder Mix Number:
HMA Type: 3/4" HMA 25% RAP
HMA Supplier Mix ID Number: NOT ON TL-101
DIME Test ID: 2026-09-15-79-1
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: 10/05/2026
Date Tested: 10/05/2026
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
|
0.156 kPa
|
|
Phase Angle (δ) (for the 10 cycles)
|
86.7 degree
|
|
Complex Modulus (G*) (for the 10 measurements)
|
1.296 kPa
|
|
Test Temperature (Specimen 1)
|
58.0 C
|
|
Dynamic Shear, G*/sin(δ)
|
1.30 kPa
|
