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Sample Record for 2024-02-01-17

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

Project Information

Project ID: 995054 DEA: 024H0204 EFIS: 0218000069 QA Service Level: 1
DIST-CO-RTE-PM: 02-TEH-36-20.0/39.7
Work Description: PLACE RHMA AND HMA, CORRECT SEGMENTS, AND REPLACE AC SURFACING.
Location Description: TEHAMA COUNTY NEAR RED BLUFF FROM 0.8 MILE EAST OF SALT CREEK BRIDGE TO BAKER ROAD
Contractor Name: TULLIS, INC.
Contractor Address: 16951 Clear Creek Road, Redding, CA 96049
Resident Engineer: Shoukie Alawar Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2024-02-01-17
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: Quality Assurance
Type of Material: Asphalt Rubber Binder
Sample Taken Date: 02/01/2024
Date that the sample was received by the laboratory/organization performing the testing: 05/02/2024
The quantity of what the sample constitutes: 5 cans for chip seal/seal coats
A brief description of the sample: 5 cans
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: 2024-02-01-17-1
Test Method: ASTM D217-16: Standard Test Methods for Cone Penetration of Lubricating Grease (Cone Penetration)
Verified Date: 05/08/2024
Date Tested: 05/03/2024
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 26 0.1 mm

Test 2 of 3

DIME Test ID: 2024-02-01-17-2
Test Method: ASTM D36-14ε1: Standard Test Method for Softening Point of Bitumen (Ring-and-Ball Apparatus) (Softening Point)
Verified Date: 05/08/2024
Date Tested: 05/03/2024
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 70 C
Softening Point Sample 2 71 C
Bath Liquid freshly boiled distilled water
Minutes Reaction no data

Test 3 of 3

DIME Test ID: 2024-02-01-17-3
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: 05/08/2024
Date Tested: 05/03/2024
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) 55 mm
Ball Penetration (P1) 0 mm
Final Dial reading (F2) 56 mm
Ball Penetration (P2) 0 mm
Final Dial reading (F3) 57 mm
Ball Penetration (P3) 0 mm
Resilience 1 45 %
Resilience 2 44 %
Resilience 3 43 %
Average Resilience 44 %
Minutes Reaction no data