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Sample Record for 2023-07-27-56

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

Project Information

Project ID: 994854 DEA: 061E5804 EFIS: 0622000071 QA Service Level: 1
DIST-CO-RTE-PM: 06-KER-43,46-9.0/15.7, 20.0/27.5
Work Description: FOR CONSTRUCTION ON STATE HIGHWAY IN KERN COUNTY NEAR WASCO ON ROUTE 43 FROM 0.2 MILE SOUTH OF ROUTE 58 TO 0.5 MILE NORTH OF RIVERSIDE AVENUE AND ROUTE 46 FROM 0.5 MILE WEST OF ROUTE 33 TO HOLLOWAY ROAD
Location Description: In District 06 On Route 43, 46
Contractor Name: AMERICAN PAVEMENT SYSTEMS , Inc.
Contractor Address: 1012 11th Street, Modesto, CA 95354
Resident Engineer: Jake Garcia Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-07-27-56
TL Number from the TL Form: 750993
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: 07/27/2023
Date that the sample was received by the laboratory/organization performing the testing: 07/31/2023
The quantity of what the sample constitutes: Asphalt Binder
A brief description of the sample: received 2 cans of PG64-16
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Western Emulsions Inc

Material Information

Performance Grade: PG 64-16
Modified: No
Lot number:
Sublot number:
Tank number:
Time of sample:
HMA Supplier:
Certified Asphalt Supplier: Western Emulsion - Mojave Asphalt Terminal - Mojave CA
Multigrade: No
Multigrade Type:
Asphalt Binder Mix Number:

Test Results

Test 1 of 5

DIME Test ID: 2023-07-27-56-1
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)
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
Data has not been verified.

Test 2 of 5

DIME Test ID: 2023-07-27-56-2
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)
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
Data has not been verified.

Test 3 of 5

DIME Test ID: 2023-07-27-56-3
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)
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
Data has not been verified.

Test 4 of 5

DIME Test ID: 2023-07-27-56-4
Test Method: AASHTO T313-22: Standard Method of Test for Determining the Flexural Creep Stiffness of Asphalt Binder Using the Bending Beam Rheometer (BBR)
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
Data has not been verified.

Test 5 of 5

DIME Test ID: 2023-07-27-56-5
Test Method: AASHTO T51-22: Standard Method of Test for Ductility of Asphalt Materials (Asphalt Binder)
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
Data has not been verified.