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Sample Record for 2024-02-01-23

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

Project Information

Project ID: 995221 DEA: 024H0004 EFIS: 0218000067 QA Service Level: 1
DIST-CO-RTE-PM: 02-SIS-97,161-45.0/54.1,0.0/0.8
Work Description: HOT MIX ASPHALT, PAVEMENT DELINEATION, & ELECTRICAL WORK.
Location Description: SISKIYOU COUNTY IN AND NEAR DORRIS ON ROUTE 97 FROM 0.3 MILE SOUTH OF SAMS NECK ROAD TO OREGON STATE LINE AND ON ROUTE 161 FROM ROUTE 97 TO 0.6 MILE EAST OF INDIAN TOM LAKE ROAD
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Nicolas Jimenez

Sample Information

DIME Sample ID: 2024-02-01-23
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 64-16
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: 2024-02-01-23-1
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 30 0.1 mm

Test 2 of 3

DIME Test ID: 2024-02-01-23-2
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: 2024-02-01-23-3
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) 54 mm
Ball Penetration (P1) 0 mm
Final Dial reading (F2) 56 mm
Ball Penetration (P2) 0 mm
Final Dial reading (F3) 54 mm
Ball Penetration (P3) 0 mm
Resilience 1 46 %
Resilience 2 44 %
Resilience 3 46 %
Average Resilience 45 %
Minutes Reaction no data