Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993905 DEA: 034H5814 EFIS: 0320000240
QA Service Level: 1
DIST-CO-RTE-PM: 03-SAC-5-27.6/29.5,30.4/34.3
Work Description: ROADWAY EXCAVATION, PLACE CL2 AB, HMA & RHMA, & MODIFY RAMP METERS.
Location Description: SACRAMENTO COUNTY IN AND NEAR SACRAMENTO FROM 0.5 MILES SOUTH OF ARENA BOULEVARD OVERCROSSING TO 0.4 MILES SOUTH OF 99/5 INTERCHANGE AND FROM 0.5 MILES NORTH OF THE 99/5 INTERCHANGE TO 0.4 MILE SOUTH OF THE YOLO COUNTY LINE
Contractor Name: DeSILVA GATES CONSTRUCTION
Contractor Address: 3855 N Freeway, Ste. 100, Sacramento, CA 95834
Resident Engineer: Hani Eissa Structure Rep.: Brent Bullard
DIME Sample ID: 2024-07-26-73
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: Verification
Type of Material: Asphalt Rubber Binder
Sample Taken Date: 07/26/2024
Date that the sample was received by the laboratory/organization performing the testing: 08/16/2024
The quantity of what the sample constitutes: 1 Cans
A brief description of the sample: 3/4" RHMA-G, PG 64-16
From where was the sample collected: Source
Laboratory sample identification: 3870
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: DeSilva Gates
Asphalt modifier supplier:
Performance Grade: PG 64-16
Lot number:
Sublot number:
Asphalt Rubber Binder Mix Number:
DIME Test ID: 2024-07-26-73-1
Test Method: ASTM D217-16: Standard Test Methods for Cone Penetration of Lubricating Grease (Cone Penetration)
Verified Date: 08/27/2024
Date Tested: 08/23/2024
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
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
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Determination
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Unworked Penetration
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Unworked Penetration
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40 0.1 mm
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