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Sample Record for 2023-06-06-67

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

Project Information

Project ID: 994919 DEA: 023J8304 EFIS: 0222000088 QA Service Level: 1
DIST-CO-RTE-PM: 02-SIS-3-38.1/R45
Work Description: Asphalt rubber chip seal and replace AC surfacing.
Location Description: SISKIYOU COUNTY NEAR FORT JONES FROM 0.1 MILE SOUTH OF PEACH ORCHARD ROAD TO 1.3 MILES SOUTH OF LAURA LANE.
Contractor Name: AMERICAN PAVEMENT SYSTEMS, INC.
Contractor Address: 1012 11th St., Modesto, CA 95354
Resident Engineer: Nicholas Riddle Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-06-06-67
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Verification
Type of Material: Asphalt Rubber Binder
Sample Taken Date: 06/06/2023
Date that the sample was received by the laboratory/organization performing the testing: 06/21/2023
The quantity of what the sample constitutes: 2 OF 2 CANS
A brief description of the sample: PG58-22
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Albina - Klamath Falls, OR

Material Information

Asphalt modifier supplier:
Performance Grade: PG 58-22
Lot number:
Sublot number:
Asphalt Rubber Binder Mix Number:
Test results on following page(s): 3

Test Results

Test 1 of 3

DIME Test ID: 2023-06-06-67-2
Test Method: ASTM D217-16: Standard Test Methods for Cone Penetration of Lubricating Grease (Cone Penetration)
Verified Date: 06/27/2023
Date Tested: 06/25/2023
Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Organization Address: 5900 Folsom Boulevard, Room 225,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (916) 227-7302
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Determination Unworked Penetration
Unworked Penetration 60 0.1 mm

Test 2 of 3

DIME Test ID: 2023-06-06-67-3
Test Method: ASTM D36-14ε1: Standard Test Method for Softening Point of Bitumen (Ring-and-Ball Apparatus) (Softening Point)
Verified Date: 06/27/2023
Date Tested: 06/25/2023
Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Organization Address: 5900 Folsom Boulevard, Room 225,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (916) 227-7302
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
ASTM Thermometer used? C
Softening Point Sample 1 69 C
Softening Point Sample 2 69 C
Bath Liquid freshly boiled distilled water
Minutes Reaction no data

Test 3 of 3

DIME Test ID: 2023-06-06-67-4
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: 06/27/2023
Date Tested: 06/26/2023
Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Organization Address: 5900 Folsom Boulevard, Room 225,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (916) 227-7302
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Temperature 25 C
Final Dial reading (F1) 83 mm
Ball Penetration (P1) 12 mm
Final Dial reading (F2) 80 mm
Ball Penetration (P2) 5 mm
Final Dial reading (F3) 78 mm
Ball Penetration (P3) 5 mm
Resilience 1 29 %
Resilience 2 25 %
Resilience 3 27 %
Average Resilience 27 %
Minutes Reaction no data