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Sample Record for 2023-04-08-11

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

Project Information

Project ID: 66669 DEA: JMF-DATA EFIS: JMF-DATA QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for storing JMF sample data
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-04-08-11
TL Number from the TL Form:
Sample Submitted By Organization: Jaxon Enterprises - Deer Creek Rock & Asphalt
Sample Organization Contact: (559) 793-0903
Type of Sample: Quality Control
Type of Material: Asphalt Modifier
Sample Taken Date: 04/08/2023
Date that the sample was received by the laboratory/organization performing the testing: 04/10/2023
The quantity of what the sample constitutes: 1 gallon
A brief description of the sample: Raffex 120 ACB
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Tricor refining

Material Information

Asphalt Modifier Type: Tricor refining
Asphalt Modifier Mix Number:

Test Results

Test 1 of 3

DIME Test ID: 2023-04-08-11-1
Test Method: ASTM D445-14: Standard Test Method for Kinematic Viscosity of Transparent and Opaque Liquids (and Calculation of Dynamic Viscosity) (Kinematic Viscosity)
Submitted By Organization: Jaxon Enterprises - Deer Creek Rock & Asphalt
Organization Address: 27671 Avenue 120,
Organization City: Porterville
Organization State: CA
Organization Zipcode: 93257
Organization Email: jordanb@jaxonaggregates.com
Organization Phone: (530) 227-0982
Data has not been verified.

Test 2 of 3

DIME Test ID: 2023-04-08-11-2
Test Method: ASTM D92-12b: Standard Test Method for Flash and Fire Points by Cleveland Open Cup Tester (Flash Point)
Submitted By Organization: Jaxon Enterprises - Deer Creek Rock & Asphalt
Organization Address: 27671 Avenue 120,
Organization City: Porterville
Organization State: CA
Organization Zipcode: 93257
Organization Email: jordanb@jaxonaggregates.com
Organization Phone: (530) 227-0982
Data has not been verified.

Test 3 of 3

DIME Test ID: 2023-04-08-11-3
Test Method: ASTM D2007-11: Standard Test Method for Characteristic Groups in Rubber Extender and Processing Oils and Other Petroleum-Derived Oils by the Clay-Gel Absorption Chromatographic Method (Clay Gel Absorption)
Submitted By Organization: Jaxon Enterprises - Deer Creek Rock & Asphalt
Organization Address: 27671 Avenue 120,
Organization City: Porterville
Organization State: CA
Organization Zipcode: 93257
Organization Email: jordanb@jaxonaggregates.com
Organization Phone: (530) 227-0982
Data has not been verified.