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Sample Record for 2019-04-12-13

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

Project Information

Project ID: 66667 DEA: JMFPP EFIS: 0019000043 QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for submitting Sample information for JMF Prequalification Program.
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2019-04-12-13
TL Number from the TL Form: HDQTRS Lab
Sample Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Verification
Type of Material: Asphalt Binder
Sample Taken Date: 04/12/2019
Date that the sample was received by the laboratory/organization performing the testing: 04/22/2019
The quantity of what the sample constitutes: JMF Verification
A brief description of the sample: PG 70-10
From where was the sample collected: Manufacturer
Laboratory sample identification: 019-005
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: San Joaquin Refinery

Material Information

Performance Grade: PG 70-10
Modified: No
Lot number:
Sublot number:
Tank number:
Time of sample:
HMA Supplier:
Asphalt Binder Supplier:
Multigrade:
Multigrade Type:
Asphalt Binder Mix Number:

Test Results

Test 1 of 2

DIME Test ID: 2019-04-12-13-1
Test Method: AASHTO T228-09r13: Standard Method of Test for Specific Gravity of Semi-Solid Asphalt Materials (Specific Gravity)
Verified Date: 04/23/2019
Date Tested: 04/23/2019
Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Blvd., 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: Taken from Contractor CEM-3512 (JMF3512-2019-71-17-1011.247_C). Mix ID: 17-1011.247_C Supplier is on the Certification Program for Suppliers of Asphalt Approved Suppliers List
Test Result Compliance:
Additional Comments When Verified:
Specific Gravity 1.026

Test 2 of 2

DIME Test ID: 2019-04-12-13-2
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: 04/23/2019
Date Tested: 04/23/2019
Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Blvd., 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: Taken from Contractor CEM-3512 (JMF3512-2019-71-17-1011.247_C). Mix ID: 17-1011.247_C - Actual reported value 1.227 Phase Angle, no value provided, default 0.0. Supplier on the Certification Program for Suppliers of Asphalt Approved Suppliers List
Test Result Compliance:
Additional Comments When Verified:
Phase RTFO residue
Phase Angle (δ) (for the 10 cycles) 0.0 degree
Dynamic Shear, G*/sin(δ) 1.23 kPa
(G*) x sin(δ)= no data