Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 212466 DEA: 080J6104 EFIS: 0800000308 Permit Numbers: 0817AOP0417 0817ADP0959 0818AUR0025 0817ARW0663 0818ART0485
QA Service Level: 2
DIST-CO-RTE-PM: 08--15-36.4/37.6
Work Description: Enter onto Interstate 15 right of way at Cajalco Road to reconstruct the interchange by replacing the existing 2-lane overcrossing bridge with a new six-lane bridge, reconfigure the NB ramps into a partial cloverleaf, and to relocate the SB ramps further to the west, as per permit Plans and Special
Location Description: I-15 /Cajalco Rd Interchange, Corona
Contractor Name: Riverside Construction
Contractor Address: 4225 Garner Rd, Riverside , CA , 92502
Resident Engineer: Arfan Haidary Structure Rep.: Unknown
DIME Sample ID: 2019-03-30-2
TL Number from the TL Form:
Sample Submitted By Organization: CT - Unassigned/General Field Laboratory
Sample Organization Contact: 5625005861
Type of Sample: Verification
Type of Material: Asphalt Binder
Sample Taken Date: 03/30/2019
Date that the sample was received by the laboratory/organization performing the testing: 04/11/2019
The quantity of what the sample constitutes: 1 qt can
A brief description of the sample: Asphalt Binder
From where was the sample collected: Job Site
Laboratory sample identification: 0224A-19
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: SJR
Performance Grade: 64-28M
Modified: Yes
Lot number:
Sublot number:
Tank number:
Time of sample:
HMA Supplier:
Certified Asphalt Supplier:
Multigrade:
Multigrade Type:
Asphalt Binder Mix Number:
DIME Test ID: 2019-03-30-2-1
Test Method: AASHTO T228-09r13: Standard Method of Test for Specific Gravity of Semi-Solid Asphalt Materials (Specific Gravity)
Submitted By Organization: CT - Unassigned/General Field Laboratory
Organization Address: 5900 Folsom Boulevard, MS 5,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: brett.soldano@dot.ca.gov
Organization Phone: (562) 500-5861
Data has not been verified.
DIME Test ID: 2019-03-30-2-2
Test Method: AASHTO T240-17: Standard Method of Test for Effect of Heat and Air on a Moving Film of Asphalt Binder (Rolling Thin-Film Oven Test)
Submitted By Organization: CT - Unassigned/General Field Laboratory
Organization Address: 5900 Folsom Boulevard, MS 5,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: brett.soldano@dot.ca.gov
Organization Phone: (562) 500-5861
Data has not been verified.
DIME Test ID: 2019-03-30-2-3
Test Method: AASHTO T301-13: Standard Method of Test for Elastic Recovery Test of Asphalt Materials by Means of a Ductilometer
Submitted By Organization: CT - Unassigned/General Field Laboratory
Organization Address: 5900 Folsom Boulevard, MS 5,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: brett.soldano@dot.ca.gov
Organization Phone: (562) 500-5861
Data has not been verified.
DIME Test ID: 2019-03-30-2-4
Test Method: AASHTO T316-17: Standard Method of Test for Viscosity Determination of Asphalt Binder Using Rotational Viscometer
Submitted By Organization: CT - Unassigned/General Field Laboratory
Organization Address: 5900 Folsom Boulevard, MS 5,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: brett.soldano@dot.ca.gov
Organization Phone: (562) 500-5861
Data has not been verified.
DIME Test ID: 2019-03-30-2-5
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 - Unassigned/General Field Laboratory
Organization Address: 5900 Folsom Boulevard, MS 5,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: brett.soldano@dot.ca.gov
Organization Phone: (562) 500-5861
Data has not been verified.
