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Sample Record for 2021-09-23-68

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

Project Information

Project ID: 215095 DEA: 11419304 EFIS: 1115000042 QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-78-N17.6/R21.3
Work Description: PLACE HMA AND RHMA, CURB RAMPS, AND ELECTRICAL WORK.
Location Description: SAN DIEGO COUNTY IN AND NEAR ESCONDIDO FROM 0.1 MILE WEST OF NORTH BROADWAY TO FLORA VISTA STREET
Contractor Name: HAZARD CONSTRUCTION COMPANY
Contractor Address: 10529 Vine Streeet, Lakeside, CA 92040
Resident Engineer: Gary LeVine Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-09-23-68
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: 09/23/2021
Date that the sample was received by the laboratory/organization performing the testing: 10/14/2021
The quantity of what the sample constitutes: 1 Quart 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: CCA-Lakeside

Material Information

Asphalt modifier supplier:
Performance Grade: PG 64-16
Lot number:
Sublot number:
Asphalt Rubber Binder Mix Number:

Test Results

Test 1 of 3

DIME Test ID: 2021-09-23-68-1
Test Method: ASTM D36-14ε1: Standard Test Method for Softening Point of Bitumen (Ring-and-Ball Apparatus) (Softening Point)
Verified Date: 11/03/2021
Date Tested: 11/01/2021
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 65 C
Softening Point Sample 2 65 C
Bath Liquid freshly boiled distilled water
Minutes Reaction no data

Test 2 of 3

DIME Test ID: 2021-09-23-68-2
Test Method: ASTM D217-16: Standard Test Methods for Cone Penetration of Lubricating Grease (Cone Penetration)
Verified Date: 11/03/2021
Date Tested: 11/02/2021
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 36 0.1 mm

Test 3 of 3

DIME Test ID: 2021-09-23-68-3
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: 11/03/2021
Date Tested: 11/02/2021
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) 60 mm
Ball Penetration (P1) 0 mm
Final Dial reading (F2) 61 mm
Ball Penetration (P2) 0 mm
Final Dial reading (F3) 61 mm
Ball Penetration (P3) 0 mm
Resilience 1 40 %
Resilience 2 39 %
Resilience 3 39 %
Average Resilience 39 %
Minutes Reaction no data