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Sample Record for 2019-04-28-9

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

Project Information

Project ID: 213912 DEA: 033H71U4 EFIS: 0319000051 QA Service Level: 1
DIST-CO-RTE-PM: 03-BUT-70-8.8/12.1
Work Description: WIDEN RDWY, RDWY EX, HMA & MODIFY ELECT SYSTEM.
Location Description: BUTTE COUNTY NEAR OROVILLE FROM 0.1 MILE SOUTH OF PALERMO ROAD TO 0.6 MILE NORTH OF OPHIR ROAD
Contractor Name: A. TEICHERT & SON, INC. DBA TEICHERT CONSTRUCTION
Contractor Address: 400 Sunrise Ave. Ste. 300, Roseville, CA 95661
Resident Engineer: Ryan Johnson Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2019-04-28-9
TL Number from the TL Form:
Sample Submitted By Organization: Teichert Materials - Sacramento
Sample Organization Contact: (916) 386-6974
Type of Sample: Quality Control
Type of Material: Asphalt Binder
Sample Taken Date: 04/28/2019
Date that the sample was received by the laboratory/organization performing the testing: 04/19/2019
The quantity of what the sample constitutes: 1 production lot
A brief description of the sample: JMF mix design data
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Teichert Materials Hallwood

Material Information

Performance Grade: PG 64-16
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: 2019-04-28-9-1
Test Method: AASHTO T228-09r13: Standard Method of Test for Specific Gravity of Semi-Solid Asphalt Materials (Specific Gravity)
Verified Date: 05/29/2019
Date Tested: 04/19/2019
Submitted By Organization: Teichert Materials - Sacramento
Organization Address: 3500 American River Drive,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95864
Organization Email: egifford@teichert.com
Organization Phone: (916) 386-6974
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Specific Gravity 1.027

Test 2 of 2

DIME Test ID: 2019-04-28-9-2
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: 05/29/2019
Date Tested: 04/19/2019
Submitted By Organization: Teichert Materials - Sacramento
Organization Address: 3500 American River Drive,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95864
Organization Email: egifford@teichert.com
Organization Phone: (916) 386-6974
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Phase RTFO residue
Phase Angle (δ) (for the 10 cycles) 79.9 degree
Dynamic Shear, G*/sin(δ) 3.68 kPa
(G*) x sin(δ)= no data