Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993118 DEA: 101C3304 EFIS: 1014000146
QA Service Level: 1
DIST-CO-RTE-PM: 10-SJ-205-R4.6/R9.0
Work Description: Widening bridges, ramps and roadway. SR205 SMART CORRIDOR - PHASE 2
Location Description: On state highway in San Joaquin County in and near Tracy from Janney Overhead to 1.3 miles east of MacArthur Drive Overcrossing.
Contractor Name: Bay Cities Paving & Grading Inc.
Contractor Address: 1450 Civic Ct., Bldg B #400, Concord, CA 94520
Resident Engineer: Harminder Deol Structure Rep.: Ron Matin
DIME Sample ID: 2026-10-05-54
TL Number from the TL Form: 000407
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: 10/05/2026
Date that the sample was received by the laboratory/organization performing the testing: 10/09/2026
The quantity of what the sample constitutes: 1 can of 64-16
A brief description of the sample: 64-16
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Teichert Vernalis
Performance Grade: PG 64-16
Modified: No
Lot number: 1
Sublot number: 14
Tank number:
Time of sample:
HMA Supplier: TEICHERT VERNALIS
Certified Asphalt Supplier: Pacific Northwest Oil - Stockton CA
Multigrade: No
Multigrade Type:
Asphalt Binder Mix Number:
HMA Type: 3/4 HMA SP 25% RAP
HMA Supplier Mix ID Number: 302-40432429
DIME Test ID: 2026-10-05-54-1
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: 10/14/2026
Date Tested: 10/13/2026
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
|
0.150 kPa
|
|
Phase Angle (δ) (for the 10 cycles)
|
87.2 degree
|
|
Complex Modulus (G*) (for the 10 measurements)
|
1.241 kPa
|
|
Test Temperature (Specimen 1)
|
64.0 C
|
|
Dynamic Shear, G*/sin(δ)
|
1.24 kPa
|
