Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 212496 DEA: 024E4504 EFIS: 0200020286
QA Service Level: 1
DIST-CO-RTE-PM: 02-LAS,MOD-139,299-VAR
Work Description: PLACE HMA, REPLACE DRAINAGE, CULVERT, ELECTRICAL AND LIGHTING SYSTEMS.
Location Description: LASSEN AND MODOC COUNTIES ON ROUTE 139 AT 0.1 MILE NORTH OF LASSEN COUNTY LINE AND ON ROUTE 299 AT VARIOUS LOCATONS FROM 0.4 MILE WEST OF BOYD HILL LOOKOUT ROAD TO 0.6 MILE EAST OF COUNTY ROAD 87
Contractor Name: PAR ELECTRICAL CONTRACTORS INC
Contractor Address: 1465 WEST FOURTH STREET, RENO, NV 89503
Resident Engineer: Mike Zdenek Structure Rep.: Chris Brace
DIME Sample ID: 2023-05-22-75
TL Number from the TL Form: C079243
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: 05/22/2023
Date that the sample was received by the laboratory/organization performing the testing: 06/07/2023
The quantity of what the sample constitutes: 2 of 2 cans
A brief description of the sample: PG 58-34M
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Hat Creek - Shaw Pit Facility
Performance Grade: PG 58-34 M
Modified: Yes
Lot number:
Sublot number:
Tank number:
Time of sample:
HMA Supplier:
Certified Asphalt Supplier: Valero Marketing & Supply - Benicia CA
Multigrade: No
Multigrade Type:
Asphalt Binder Mix Number:
DIME Test ID: 2023-05-22-75-1
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: 06/09/2023
Date Tested: 06/09/2023
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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0.146 kPa
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Phase Angle (δ) (for the 10 cycles)
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68.1 degree
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Complex Modulus (G*) (for the 10 measurements)
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1.218 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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1.31 kPa
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