Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 213405 DEA: 120R5504 EFIS: 1218000116
QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-74-0.47
Work Description: Remove and replace a damaged traffic light pole with new mast arm, signal head and place new concrete pole pile foundation.
Location Description: In Orange County on Route 74 at La Novia Intersection in the City of San Juan Capistrano
Contractor Name: DYNA ELECTRIC
Contractor Address: 4462 CORPORATE CENTER DRIVE, LOS ALAMITOS, CA 90720
Resident Engineer: Moussa Essayli Structure Rep.: Unknown
DIME Sample ID: 2024-02-24-5
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Verification
Type of Material: Asphalt Rubber Binder
Sample Taken Date: 02/24/2024
Date that the sample was received by the laboratory/organization performing the testing: 03/06/2024
The quantity of what the sample constitutes: 1can
A brief description of the sample: TEST Asphalt Rubber Binder
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: AAA-Corona
Asphalt modifier supplier:
Performance Grade: PG 64-16
Lot number:
Sublot number:
Asphalt Rubber Binder Mix Number:
DIME Test ID: 2024-02-24-5-1
Test Method: ASTM D217-16: Standard Test Methods for Cone Penetration of Lubricating Grease (Cone Penetration)
Verified Date: 03/12/2024
Date Tested: 03/06/2024
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: 9098293029
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Determination
|
Unworked Penetration
|
Unworked Penetration
|
33 0.1 mm
|
DIME Test ID: 2024-02-24-5-2
Test Method: ASTM D36-14ε1: Standard Test Method for Softening Point of Bitumen (Ring-and-Ball Apparatus) (Softening Point)
Verified Date: 03/12/2024
Date Tested: 03/05/2024
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: 9098293029
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
ASTM Thermometer used?
|
C
|
Softening Point Sample 1
|
58 C
|
Softening Point Sample 2
|
58 C
|
Bath Liquid
|
freshly boiled distilled water
|
Minutes Reaction
|
no data
|
DIME Test ID: 2024-02-24-5-3
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: 03/12/2024
Date Tested: 03/06/2024
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: 9098293029
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Temperature
|
25 C
|
Final Dial reading (F1)
|
80 mm
|
Ball Penetration (P1)
|
2 mm
|
Final Dial reading (F2)
|
80 mm
|
Ball Penetration (P2)
|
3 mm
|
Final Dial reading (F3)
|
80 mm
|
Ball Penetration (P3)
|
2 mm
|
Resilience 1
|
22 %
|
Resilience 2
|
23 %
|
Resilience 3
|
22 %
|
Average Resilience
|
22 %
|
Minutes Reaction
|
no data
|