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Sample Record for 2021-06-08-36

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: 2021-06-08-36
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: 06/08/2021
Date that the sample was received by the laboratory/organization performing the testing: 06/09/2021
The quantity of what the sample constitutes: Hot Plant Production
A brief description of the sample: Asphalt Binder Sample
From where was the sample collected: Manufacturer
Laboratory sample identification: GL202005-SP
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Teichert Materials Grantline

Material Information

Performance Grade: PG 64-16
Modified: No
Lot number:
Sublot number:
Tank number:
Time of sample:
HMA Supplier:
Asphalt Binder Supplier: Marathon Petroleum Co. LP - Elk Grove CA
Multigrade: No
Multigrade Type:

Test Results

Test 1 of 2

DIME Test ID: 2021-06-08-36-1
Test Method: AASHTO T228-09r13: Standard Method of Test for Specific Gravity of Semi-Solid Asphalt Materials (Specific Gravity)
Submitted By Organization: Teichert Materials - Sacramento
Organization Address: 8609 Jackson Road, Building 101,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95826
Organization Email: EGifford@teichert.com
Organization Phone: (916) 386-6974
Data has not been verified.

Test 2 of 2

DIME Test ID: 2021-06-08-36-2
Test Method: AASHTO T315-20: Standard Method of Test for Determining the Rheological Properties of Asphalt Binder Using a Dynamic Shear Rheometer (DSR) (Dynamic Shear)
Verified Date: 07/23/2021
Date Tested: 06/09/2021
Submitted By Organization: Teichert Materials - Sacramento
Organization Address: 8609 Jackson Road, Building 101,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95826
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
Test Plate Diameter 25 mm
Phase Angle (δ) (for the 10 cycles) 0.0 degree
Dynamic Shear, G*/sin(δ) 3.46 kPa

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.