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Sample Record for 2021-06-12-6

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

Project Information

Project ID: 213746 DEA: 080Q75U4 EFIS: 0817000114 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD,RIV-60-R4.6/R9.9, R0.0/12.2
Work Description: REPLACEMENT OF TWO OUTSIDE LANES AND CONCRETE SLABS
Location Description:
Contractor Name: J McLoughlin Engineering
Contractor Address: 10641 Fulton Court, Rancho Cucamonga, CA 91730
Resident Engineer: Mujahid Qureshi Structure Rep.: Ching Chuang

Sample Information

DIME Sample ID: 2021-06-12-6
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Acceptance
Type of Material: Asphalt Rubber Binder
Sample Taken Date: 06/12/2021
Date that the sample was received by the laboratory/organization performing the testing: 06/15/2021
The quantity of what the sample constitutes: 1Quart can
A brief description of the sample: Asphalt Rubber Binder
From where was the sample collected: Supplier
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Matich-Cabazon

Material Information

Asphalt modifier supplier:
Performance Grade: PG 64-16
Lot number:
Sublot number:
Asphalt Rubber Binder Mix Number:
Test results on following page(s): 3

Test Results

Test 1 of 3

DIME Test ID: 2021-06-12-6-1
Test Method: ASTM D217-16: Standard Test Methods for Cone Penetration of Lubricating Grease (Cone Penetration)
Verified Date: 08/11/2021
Date Tested: 08/10/2021
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: 9098293029
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Determination Unworked Penetration
Unworked Penetration 45 0.1 mm

Test 2 of 3

DIME Test ID: 2021-06-12-6-2
Test Method: ASTM D36-14ε1: Standard Test Method for Softening Point of Bitumen (Ring-and-Ball Apparatus) (Softening Point)
Verified Date: 08/11/2021
Date Tested: 08/09/2021
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: 9098293029
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
ASTM Thermometer used? C
Softening Point Sample 1 58 C
Softening Point Sample 2 58 C
Bath Liquid freshly boiled distilled water
Minutes Reaction no data

Test 3 of 3

DIME Test ID: 2021-06-12-6-3
Test Method: ASTM D5329-16: Standard Test Methods for Sealants and Fillers, Hot-Applied, for Joints and Cracks in Asphalt Pavements and Portland Cement Concrete Pavements (Asphalt Pavement)
Verified Date: 08/11/2021
Date Tested: 08/10/2021
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: 9098293029
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Temperature 25 C
Final Dial reading (F1) 83 mm
Ball Penetration (P1) 5 mm
Final Dial reading (F2) 85 mm
Ball Penetration (P2) 4 mm
Final Dial reading (F3) 84 mm
Ball Penetration (P3) 4 mm
Resilience 1 22 %
Resilience 2 19 %
Resilience 3 20 %
Average Resilience 20 %
Minutes Reaction no data