Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214685 DEA: 024E46U4 EFIS: 0216000122
QA Service Level: 1
DIST-CO-RTE-PM: 02-LAS-36-6.0/14.6
Work Description: REPLACE BRIDGE, ROADWAY EXCAVATION, HMA, CLASS 2 AB AND DRAINAGE WORK.
Location Description: LASSEN COUNTY NEAR WESTWOOD FROM 1.3 MILES WEST OF GOODRICH CREEK BRIDGE TO 1.0 MILE WEST OF WILLARD CREEK ROAD
Contractor Name: Hat Creek Construction
Contractor Address: 24339 Highway 89 N, Burney, CA 96013
Resident Engineer: Tim Crosby Structure Rep.: Jeff Rothgery
DIME Sample ID: 2020-06-10-33
TL Number from the TL Form: 896984
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: 06/10/2020
Date that the sample was received by the laboratory/organization performing the testing: 06/26/2020
The quantity of what the sample constitutes: JMF, 1 can, #1 Test
A brief description of the sample: TEST Asphalt Binder
From where was the sample collected: Source
Laboratory sample identification: AB206068
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Marathon
Performance Grade: PG 58-34 M
Modified: Yes
Lot number: Unknown
Sublot number: Unknown
Tank number:
Time of sample:
HMA Supplier:
Certified Asphalt Supplier:
Multigrade:
Multigrade Type:
Asphalt Binder Mix Number:
DIME Test ID: 2020-06-10-33-1
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: 07/07/2020
Date Tested: 07/07/2020
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
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Any material loss from containers during heating process/testing?
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No
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Mass of empty container #1
|
173.6 grams
|
Mass of container #1 before test (m1i)
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208.51 grams
|
Mass of container #1 after test (m1f)
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208.33 grams
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Average mass change
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-0.516 percent
|