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Sample Record for 2024-02-01-20

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

Project Information

Project ID: 1000003 DEA: 024J8404 EFIS: 0223000079 QA Service Level: 1
DIST-CO-RTE-PM: 02-LAS-395-76.0/92.0
Work Description: ASPHALT RUBBER CHIP SEAL AND REPLACE ASPHALT CONCRETE SURFACING.
Location Description: LASSEN COUNTY NEAR LITCHFIELD FROM 0.1 MILE SOUTH OF MAPES LANE TO 0.1 MILE NORTH OF KARLO ROAD
Contractor Name: VSS International, Inc.
Contractor Address: 3785 CHANNEL DRIVE, WEST SACRAMENTO, CA 95691
Resident Engineer: Daniel Gibbs Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2024-02-01-20
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

Test 1 of 3

DIME Test ID: 2024-02-01-20-1
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: 2024-02-01-20-2
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: 2024-02-01-20-3
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