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Sample Record for 2020-05-04-24

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: 2020-05-04-24
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: 05/04/2020
Date that the sample was received by the laboratory/organization performing the testing: 05/04/2020
The quantity of what the sample constitutes: JMF Prequalification Program
A brief description of the sample: Aggregate Quality
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Teichert Materials Vernalis

Material Information

Performance Grade: 70-10
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 on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2020-05-04-24-1
Test Method: AASHTO T228-09r13: Standard Method of Test for Specific Gravity of Semi-Solid Asphalt Materials (Specific Gravity)
Verified Date: 05/19/2020
Date Tested: 05/13/2020
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: 2020-05-04-24-2
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: 05/19/2020
Date Tested: 05/13/2020
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) 1.28 kPa
(G*) x sin(δ)= no data