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Sample Record for 2020-04-21-29

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

Project Information

Project ID: 214253 DEA: 051J0404 EFIS: 0517000054 QA Service Level: 1
DIST-CO-RTE-PM: 05-SLO,MON-46,101-49.5,R3.1/R5.2
Work Description: INSTALL ELECTRIC VEHICLE CHARGING STATIONS.
Location Description: SAN LUIS OBISPO AND MONTEREY COUNTIES ON ROUTE 46 AT SHANDON SAFETY ROADSIDE REST AREA AND ON ROUTE 101 AT CAMP ROBERTS SAFETY ROADSIDE REST AREAS
Contractor Name: Hoseley Corp
Contractor Address: 1485 Bayshore Boulevard, #193, San Francisco, CA 94 124
Resident Engineer: Amy Norris Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-04-21-29
TL Number from the TL Form: 978806
Sample Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Department Acceptance
Type of Material: Asphalt Binder
Sample Taken Date: 04/21/2020
Date that the sample was received by the laboratory/organization performing the testing: 05/27/2020
The quantity of what the sample constitutes: 1 Can
A brief description of the sample: Asphalt Binder Sample
From where was the sample collected: Distributor
Laboratory sample identification: AB206019
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Unknown

Material Information

Performance Grade: PG64-10
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): 1

Test Results

Test 1 of 1

DIME Test ID: 2020-04-21-29-1
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)
Verified Date: 06/17/2020
Date Tested: 06/17/2020
Submitted By Organization: CT HQ - Sacramento Asphalt Binder 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: complies
Additional Comments When Verified:
Is mass change based on one or two containers? One
Any material loss from containers during heating process/testing? No
Mass of empty container #1 170.037 grams
Mass of container #1 before test (m1i) 205.203 grams
Mass of container #1 after test (m1f) 205.144 grams
Average mass change -0.168 percent