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Sample Record for 2020-04-20-40

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: 2020-04-20-40
TL Number from the TL Form:
Sample Submitted By Organization: Jaxon Enterprises - Deer Creek Rock & Asphalt
Sample Organization Contact: (559) 793-0903
Type of Sample: Quality Control
Type of Material: Asphalt Binder
Sample Taken Date: 04/20/2020
Date that the sample was received by the laboratory/organization performing the testing: 04/24/2020
The quantity of what the sample constitutes: Quart of PG64-10
A brief description of the sample: Chowchilla PG64-10
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Deer Creek Rock and Asphalt

Material Information

Performance Grade: PG 64-10
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

Test 1 of 2

DIME Test ID: 2020-04-20-40-1
Test Method: AASHTO T228-09r13: Standard Method of Test for Specific Gravity of Semi-Solid Asphalt Materials (Specific Gravity)
Verified Date: 10/09/2020
Date Tested: 05/08/2020
Submitted By Organization: Jaxon Enterprises - Deer Creek Rock & Asphalt
Organization Address: 27671 Avenue 120,
Organization City: Porterville
Organization State: CA
Organization Zipcode: 93257
Organization Email: jordanb@jaxonaggregates.com
Organization Phone: (530) 227-0982
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Specific Gravity 1.020

Test 2 of 2

DIME Test ID: 2020-04-20-40-2
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: 10/09/2020
Date Tested: 05/08/2020
Submitted By Organization: Jaxon Enterprises - Deer Creek Rock & Asphalt
Organization Address: 27671 Avenue 120,
Organization City: Porterville
Organization State: CA
Organization Zipcode: 93257
Organization Email: jordanb@jaxonaggregates.com
Organization Phone: (530) 227-0982
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Phase RTFO residue
Phase Angle (δ) (for the 10 cycles) 1.4 degree
Dynamic Shear, G*/sin(δ) 0.00 kPa
(G*) x sin(δ)= no data