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Sample Record for 2019-03-16-2

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

Project Information

Project ID: 212889 DEA: 073009U4 EFIS: 0714000238 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-110-R0.7/24.1
Work Description: REPLACE CONCRETE PAVEMENT, COLD PLANE AND PLACE HMA PAVEMENT.
Location Description: LOS ANGELES COUNTY IN AND NEAR LOS ANGELES AND CARSON FROM GAFFEY STREET TO 0.1 MILE SOUTH OF COLLEGE STREET OVERCROSSING
Contractor Name: All American Asphalt
Contractor Address: 400 E. 6th St., Corona, CA 92879
Resident Engineer: Thang Ton Structure Rep.: Quan Ho

Sample Information

DIME Sample ID: 2019-03-16-2
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Verification
Type of Material: Asphalt Binder
Sample Taken Date: 03/16/2019
Date that the sample was received by the laboratory/organization performing the testing: 03/25/2019
The quantity of what the sample constitutes: 4 x 1 qt
A brief description of the sample: PG64-10
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: San Joaquin Refining Co Inc

Material Information

Performance Grade: PG64-10
Modified: No
Lot number:
Sublot number:
Tank number:
Time of sample:
HMA Supplier:
Certified Asphalt Supplier:
Multigrade:
Multigrade Type:
Asphalt Binder Mix Number:

Test Results

Test 1 of 2

DIME Test ID: 2019-03-16-2-1
Test Method: AASHTO T228-09r13: Standard Method of Test for Specific Gravity of Semi-Solid Asphalt Materials (Specific Gravity)
Verified Date: 04/05/2019
Date Tested: 04/29/2019
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: 9098293029
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Specific Gravity 1.022

Test 2 of 2

DIME Test ID: 2019-03-16-2-2
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)
Verified Date: 04/05/2019
Date Tested: 03/28/2019
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: 9098293029
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Phase RTFO residue
Phase Angle (δ) (for the 10 cycles) 83.8 degree
Dynamic Shear, G*/sin(δ) 3.38 kPa
(G*) x sin(δ)= no data