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Sample Record for 2019-04-01-45

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: 2019-04-01-45
TL Number from the TL Form:
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 Modifier
Sample Taken Date: 04/01/2019
Date that the sample was received by the laboratory/organization performing the testing: 04/01/2019
The quantity of what the sample constitutes: JMF Verification
A brief description of the sample: Asphalt Modifier - Raffex 120
From where was the sample collected: Distributor
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: San Joaquin Refinery

Material Information

Asphalt Modifier Type: Raffex 120
Asphalt Modifier Mix Number:
Test results on following page(s): 3

Test Results

Test 1 of 3

DIME Test ID: 2019-04-01-45-1
Test Method: ASTM D445-14: Standard Test Method for Kinematic Viscosity of Transparent and Opaque Liquids (and Calculation of Dynamic Viscosity) (Kinematic Viscosity)
Verified Date: 12/03/2019
Date Tested: 07/01/2019
Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Boulevard, 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:
Test Result Compliance:
Additional Comments When Verified:
First Kinematic Viscosity 28.0000 mm2/s
Second Kinematic Viscosity 28.0000 mm2/s
Kinematic Viscosity 28.0000 mm2/s
Dynamic Viscosity 28.0000 mPa-s

Test 2 of 3

DIME Test ID: 2019-04-01-45-2
Test Method: ASTM D92-12b: Standard Test Method for Flash and Fire Points by Cleveland Open Cup Tester (Flash Point)
Verified Date: 12/03/2019
Date Tested: 04/01/2019
Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Boulevard, 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:
Test Result Compliance:
Additional Comments When Verified:
Unit system used? SI Units
Ambient Barometric Pressure unit? mm Hg
Corrected Flash Point 240 C

Test 3 of 3

DIME Test ID: 2019-04-01-45-3
Test Method: ASTM D2007-11: Standard Test Method for Characteristic Groups in Rubber Extender and Processing Oils and Other Petroleum-Derived Oils by the Clay-Gel Absorption Chromatographic Method (Clay Gel Absorption)
Verified Date: 12/03/2019
Date Tested: 04/01/2019
Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Boulevard, 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:
Test Result Compliance:
Additional Comments When Verified:
Method of determination of aromatic content: Difference
Asphaltenes, percent by mass 0.0 %
Aromatics, percent by mass 65.0 %