Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993279 DEA: 010E0904 EFIS: 0113000123
QA Service Level: 1
DIST-CO-RTE-PM: 01-MEN-20-33.3/34.4
Work Description: CONSTRUCT NEW BRIDGE, REMOVE TWO BRIDGES, EARTHWORK AND PAVING. (Bridge No. 10-0310)
Location Description: MENDOCINO COUNTY NEAR UKIAH FROM 0.3 MILE WEST OF RUSSIAN RIVER BRIDGE AND OVERHEAD TO 0.3 MILE EAST OF COUNTY ROAD 144
Contractor Name: Myers & Sons Construction LLC
Contractor Address: 4600 Northgate Blvd, Suite 100, Sacramento, CA 95838
Resident Engineer: Geoffrey Wright Structure Rep.: Kari Forbes
DIME Sample ID: 2022-10-14-51
TL Number from the TL Form: 033179
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: 10/14/2022
Date that the sample was received by the laboratory/organization performing the testing: 10/31/2022
The quantity of what the sample constitutes: 1 Can
A brief description of the sample: PG58-22
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: cmc
Performance Grade: PG 58-22
Modified: No
Lot number:
Sublot number:
Tank number:
Time of sample:
HMA Supplier:
Certified Asphalt Supplier: AASHTO Resource - Frederick MD
Multigrade: Yes
Multigrade Type: PG 58-22 / PG 58-16
Asphalt Binder Mix Number:
DIME Test ID: 2022-10-14-51-1
Test Method: AASHTO T315-22: Standard Method of Test for Determining the Rheological Properties of Asphalt Binder Using a Dynamic Shear Rheometer (DSR) (Dynamic Shear)
Verified Date: 11/07/2022
Date Tested: 11/04/2022
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: OG
Test Result Compliance: complies
Additional Comments When Verified:
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Phase
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Original binder
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Test Gap
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1 mm
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Test Frequency
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10.0 rad/s
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Strain Amplitude
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12.00 %
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Stress Amplitude
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0.210 kPa
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Phase Angle (δ) (for the 10 cycles)
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84.7 degree
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Complex Modulus (G*) (for the 10 measurements)
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1.753 kPa
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Test Temperature (Specimen 1)
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58.0 C
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Dynamic Shear, G*/sin(δ)
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1.76 kPa
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