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Sample Record for 2020-06-11-50

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

Project Information

Project ID: 213887 DEA: 024H2604 EFIS: 0218000100 QA Service Level: 1
DIST-CO-RTE-PM: 02-SIS-97-R11.5/17.1
Work Description: COLD PLANE AC, REPLACE AC SURFACING, PLACE AC, RUMBLE STRIP & STRIPE.
Location Description: SISKIYOU COUNTY ABOUT 12 MILES NORTH OF WEED FROM YELLOW BUTTE ROAD TO 0.6 MILE NORTH OF DEER MOUNTAIN ROAD
Contractor Name: ROCKY MOUNTAIN CONSTRUCTION, LLC.
Contractor Address: 4815 Tingley Lane #A, Klamath Falls, OR 97603
Resident Engineer: Jeff O. Steppat Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-06-11-50
TL Number from the TL Form: 990770
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: 06/11/2020
Date that the sample was received by the laboratory/organization performing the testing: 06/24/2020
The quantity of what the sample constitutes: JMF 1 Cans, #1 Test
A brief description of the sample: Asphalt Binder
From where was the sample collected: Source
Laboratory sample identification: AB206061
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Albina - Klamath Falls, OR

Material Information

Performance Grade: PG 64-28 M
Modified: Yes
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: 2020-06-11-50-1
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: 07/06/2020
Date Tested: 07/06/2020
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:
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 #1 167.530 grams
Mass of container #1 before test (m1i) 202.530 grams
Mass of container #1 after test (m1f) 202.460 grams
Average mass change -0.200 percent