Project Information

Project ID: 993801 DEA: 032G3704 EFIS: 0321000118 QA Service Level: 1

DIST-CO-RTE-PM: 03-COL,YOL-16-0.1/7.3,0.0/0.7

Work Description: PARTIAL DEPTH RECYCLING, PLACE RHMA-G, & COLD PLANE AC PAVEMENT.

Location Description: COLUSA AND YOLO COUNTIES NEAR RUMSEY FROM 0.1 MILE SOUTH OF ROUTE 20 TO 1.3 MILES NORTH OF ROAD 40

Contractor Name: BALDWIN CONTRACTING CO. INC DBA KNIFE RIVER CONSTRUCTION

Contractor Address: 1764 SKYWAY ROAD, CHICO, CA 95928

Resident Engineer: Masoud Saed Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2022-10-08-2

TL Number from the TL Form: 875256

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 Rubber Binder

Sample Taken Date: 10/08/2022

Date that the sample was received by the laboratory/organization performing the testing: 10/10/2022

The quantity of what the sample constitutes: 1 cans

A brief description of the sample: 64-16

From where was the sample collected: Fabricator

Laboratory sample identification:

Structure unique identifier:

Structure name:

The fabricator/manufacturer/facility name: Valero

Material Information

Asphalt modifier supplier:

Performance Grade: PG 64-16

Lot number:

Sublot number:

Asphalt Rubber Binder Mix Number:

Test Results

Test 1 of 2

DIME Test ID: 2022-10-08-2-1

Test Method: ASTM D217-16: Standard Test Methods for Cone Penetration of Lubricating Grease (Cone Penetration)

Verified Date: 10/14/2022

Date Tested: 10/13/2022

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:

Determination	Unworked Penetration
Unworked Penetration	29 0.1 mm

Test 2 of 2

DIME Test ID: 2022-10-08-2-3

Test Method: ASTM D5329-16: Standard Test Methods for Sealants and Fillers, Hot-Applied, for Joints and Cracks in Asphalt Pavements and Portland Cement Concrete Pavements (Asphalt Pavement)