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Sample Record for 2022-10-11-23

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 993297 DEA: 010F8204 EFIS: 0116000067 QA Service Level: 1
DIST-CO-RTE-PM: 01-HUM-101-R90.1/109.6
Work Description: PLACE RHMA-G AND HMA (TYPE A).
Location Description: IN HUMBOLDT COUNTY IN AND NEAR TRINIDAD FROM 1.3 MILES SOUTH OF SCHOOL ROAD OVERCROSSING TO 0.4 MILE NORTH OF BIG LAGOON BRIDGE
Contractor Name: MERCER-FRASER COMPANY
Contractor Address: 77 West Second Street, Eureka, CA 95501
Resident Engineer: Ryan Dunne Structure Rep.: Michele Stover

Sample Information

DIME Sample ID: 2022-10-11-23
TL Number from the TL Form: 032400
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: 10/11/2022
Date that the sample was received by the laboratory/organization performing the testing: 10/13/2022
The quantity of what the sample constitutes: 1 Can
A brief description of the sample: Rubber binder 64-16
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Mercer Fraser Fortuna Plant B / Valero Benicia

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: 2022-10-11-23-1
Test Method: ASTM D217-16: Standard Test Methods for Cone Penetration of Lubricating Grease (Cone Penetration)
Verified Date: 10/31/2022
Date Tested: 10/27/2022
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: 2022-10-11-23-3
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)
Verified Date: 10/31/2022
Date Tested: 10/27/2022
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:
Temperature 25 C
Ball Penetration (P1) no data0 mm
Final Dial reading (F1) 59 mm
Ball Penetration (P2) no data0 mm
Final Dial reading (F2) 60 mm
Ball Penetration (P3) no data0 mm
Final Dial reading (F3) 60 mm
Resilience 1 41 %
Resilience 2 40 %
Resilience 3 40 %
Average Resilience 40 %
Minutes Reaction no data