Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 213154 DEA: 060G8514 EFIS: 0614000009
QA Service Level: 1
DIST-CO-RTE-PM: 06-KER-58-R52.4/R55.5
Work Description: REPLACE LANES AND SHOULDERS WITH CONTINUOUSLY REINFORCED CONCRETE.
Location Description: KERN COUNTY IN BAKERSFIELD FROM ROUTE 58/99 SEPARATION TO COTTONWOOD ROAD UNDERCROSSING
Contractor Name: SECURITY PAVING COMPANY, INC.
Contractor Address: 13170 TELFAIR AVENUE, SYLMAR, CA 91342
Resident Engineer: Amarjit Dhaliwal Structure Rep.: Mark Wittgraf
DIME Sample ID: 2020-05-20-30
TL Number from the TL Form: 771777
Sample Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Department Acceptance
Type of Material: Asphalt Binder
Sample Taken Date: 05/20/2020
Date that the sample was received by the laboratory/organization performing the testing: 05/28/2020
The quantity of what the sample constitutes: 1 Can
A brief description of the sample: Asphalt Binder Sample
From where was the sample collected: Distributor
Laboratory sample identification: AB206007
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan San Emidio
Performance Grade: PG70-10
Modified: No
Lot number:
Sublot number:
Tank number:
Time of sample:
HMA Supplier:
Certified Asphalt Supplier:
Multigrade:
Multigrade Type:
Asphalt Binder Mix Number:
DIME Test ID: 2020-05-20-30-1
Test Method: AASHTO T240-17: Standard Method of Test for Effect of Heat and Air on a Moving Film of Asphalt Binder (Rolling Thin-Film Oven Test)
Verified Date: 06/15/2020
Date Tested: 06/15/2020
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:
Test Result Compliance: complies
Additional Comments When Verified:
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Is mass change based on one or two containers?
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One
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Any material loss from containers during heating process/testing?
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No
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Mass of empty container #1
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174.387 grams
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Mass of container #1 before test (m1i)
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209.467 grams
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Mass of container #1 after test (m1f)
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209.391 grams
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Average mass change
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-0.217 percent
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