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Sample Record for 2021-09-27-38

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Project Information

Project ID: 215161 DEA: 010C5704 EFIS: 0113000009 QA Service Level: 1
DIST-CO-RTE-PM: 01-HUM-101-69.8/75.2
Work Description: PLACE RHMA-G, HMA AND CONCRETE BARRIER.
Location Description: HUMBOLDT COUNTY IN AND NEAR EUREKA FROM 0.8 MILE SOUTH OF TOMPKINS HILL ROAD OVERHEAD TO 0.4 MILE NORTH OF HERRICK AVENUE OVERCROSSING
Contractor Name: MERCER-FRASER COMPANY
Contractor Address: 77 2nd St, Eureka, CA 95501
Resident Engineer: Joaquin Rodriguez Structure Rep.: Jarred Burrows

Sample Information

DIME Sample ID: 2021-09-27-38
TL Number from the TL Form: c581668
Sample Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Acceptance
Type of Material: Asphalt Rubber Binder
Sample Taken Date: 09/27/2021
Date that the sample was received by the laboratory/organization performing the testing: 10/01/2021
The quantity of what the sample constitutes: 1 quart can
A brief description of the sample: PG64-16 Rubber Blend
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Mercer Fraser Plant B

Material Information

Asphalt modifier supplier:
Performance Grade: PG 64-16
Lot number:
Sublot number:

Test Results

Test 1 of 3

DIME Test ID: 2021-09-27-38-1
Test Method: ASTM D217-16: Standard Test Methods for Cone Penetration of Lubricating Grease (Cone Penetration)
Verified Date: 10/06/2021
Date Tested: 10/06/2021
Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Organization Address: 5900 Folsom Blvd,
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: 2018 per spec.
Test Result Compliance:
Additional Comments When Verified:
Determination Unworked Penetration
Unworked Penetration 42 0.1 mm

Test 2 of 3

DIME Test ID: 2021-09-27-38-2
Test Method: ASTM D36-14ε1: Standard Test Method for Softening Point of Bitumen (Ring-and-Ball Apparatus) (Softening Point)
Verified Date: 10/06/2021
Date Tested: 10/06/2021
Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Organization Address: 5900 Folsom Blvd,
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: 2018 per spec.
Test Result Compliance:
Additional Comments When Verified:
ASTM Thermometer used? C
Softening Point Sample 1 59 C
Softening Point Sample 2 59 C
Bath Liquid USP glycerin

Test 3 of 3

DIME Test ID: 2021-09-27-38-3
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)
Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (916) 227-7302
Data has not been verified.

Tests Assigned to this Sample

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