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Sample Record for 2017-11-01-17

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

Project Information

Project ID: 9999 DEA: 00000000 EFIS: 0000000000 COOP: 99999333399 MINOR: 333333 Permit Numbers: 555555 0400NRT0000 QA Service Level: 1
DIST-CO-RTE-PM: 03-SAC,OMG-888,99,80-0.6-0.6
Work Description: THIS PROJECT RECORD WAS ADDED FOR DIME DEVELOPERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Location Description: THIS PROJECT RECORD WAS ADDED FOR DIME DEVELOPERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Contractor Name: YYZ
Contractor Address: 1234 address, Sacramento, CA 95824
Resident Engineer: RE_first RE_last Structure Rep.: SR_First SR_Last

Sample Information

DIME Sample ID: 2017-11-01-17
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT HQ - Sacramento Materials Management Branch Field Office
Sample Organization Contact: (562) 500-5861
Type of Sample: Quality Control
Type of Material: Asphalt Binder
Sample Taken Date: 11/01/2017
Date that the sample was received by the laboratory/organization performing the testing: 11/01/2017
The quantity of what the sample constitutes: 1
A brief description of the sample: for JMF QC
From where was the sample collected: Manufacturer
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Mustang

Material Information

Performance Grade: PG 64-16
Modified:
Lot number:
Sublot number:
Tank number:
Time of sample:
HMA Supplier:
Asphalt Binder Supplier:
Multigrade:
Multigrade Type:

Test Results

Test 1 of 4

DIME Test ID: 2017-11-01-17-1
Test Method: AASHTO T228-09r13: Standard Method of Test for Specific Gravity of Semi-Solid Asphalt Materials (Specific Gravity)
Verified Date: 11/01/2017
Date Tested: 11/01/2017
Submitted By Organization: CT HQ - Sacramento Materials Management Branch Field Office
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: bscott@altavistasolutions.com
Organization Phone: (562) 500-5861
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Specific Gravity 1.028

Test 2 of 4

DIME Test ID: 2017-11-01-17-2
Test Method: AASHTO T315-12: Standard Method of Test for Determining the Rheological Properties of Asphalt Binder Using a Dynamic Shear Rheometer (DSR) (Dynamic Shear)
Submitted By Organization: CT HQ - Sacramento Materials Management Branch Field Office
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: bscott@altavistasolutions.com
Organization Phone: (562) 500-5861
Data has not been verified.

Test 3 of 4

DIME Test ID: 2017-11-01-17-3
Test Method: AASHTO T315-12: Standard Method of Test for Determining the Rheological Properties of Asphalt Binder Using a Dynamic Shear Rheometer (DSR) (Dynamic Shear)
Verified Date: 05/13/2019
Date Tested: 05/01/2019
Submitted By Organization: CT D02 - North Region Materials Lab
Organization Address: 1657 Riverside Dr,MS-83
Organization City: Redding
Organization State: CA
Organization Zipcode: 96001
Organization Email: ward.jenkins@dot.ca.gov
Organization Phone: (530) 225-3194
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Phase Original binder
Phase Angle (δ) (for the 10 cycles) 12.2 degree
Dynamic Shear, G*/sin(δ) 2.11 kPa
(G*) x sin(δ)= no data

Test 4 of 4

DIME Test ID: 2017-11-01-17-4
Test Method: AASHTO T315-12: Standard Method of Test for Determining the Rheological Properties of Asphalt Binder Using a Dynamic Shear Rheometer (DSR) (Dynamic Shear)
Verified Date: 05/13/2019
Date Tested: 05/16/2019
Submitted By Organization: CT D02 - North Region Materials Lab
Organization Address: 1657 Riverside Dr,MS-83
Organization City: Redding
Organization State: CA
Organization Zipcode: 96001
Organization Email: ward.jenkins@dot.ca.gov
Organization Phone: (530) 225-3194
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Phase RTFO residue
Phase Angle (δ) (for the 10 cycles) 1.2 degree
Dynamic Shear, G*/sin(δ) 2.52 kPa
(G*) x sin(δ)= no data

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.