Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 215179 DEA: 010F4704 EFIS: 0116000011
QA Service Level: 1
DIST-CO-RTE-PM: 01-HUM-299-30.7/37.7
Work Description: PLACE HMA & RHMA-G & CONSTRUCT SOLDIER PILE WALL.
Location Description: HUMBOLDT COUNTY NEAR WILLOW CREEK AT VARIOUS LOCATIONS FROM 0.1 MILE EAST OF CEDAR CREEK ROAD TO 1.1 MILES WEST OF ROUTE 96 JUNCTION
Contractor Name: MERCER-FRASER COMPANY
Contractor Address: PO Box 1006, Eureka, CA 95502
Resident Engineer: Brian Winter Structure Rep.: Jarred Burrows
DIME Sample ID: 2021-11-29-25
TL Number from the TL Form:
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: 11/29/2021
Date that the sample was received by the laboratory/organization performing the testing: 12/06/2021
The quantity of what the sample constitutes: 1 can
A brief description of the sample: Asphalt Rubber Binder
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Mercer Fraser
Asphalt modifier supplier:
Performance Grade: PG 64-16
Lot number:
Sublot number:
Asphalt Rubber Binder Mix Number:
DIME Test ID: 2021-11-29-25-1
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: 12/09/2021
Date Tested: 12/09/2021
Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Organization Address: 5900 Folsom Boulevard, Room 225,
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: no rebound
Test Result Compliance: does not comply
Additional Comments When Verified:
Temperature
|
25 C
|
Final Dial reading (F1)
|
100 mm
|
Ball Penetration (P1)
|
0 mm
|
Final Dial reading (F2)
|
100 mm
|
Ball Penetration (P2)
|
0 mm
|
Final Dial reading (F3)
|
100 mm
|
Ball Penetration (P3)
|
0 mm
|
Resilience 1
|
0 %
|
Resilience 2
|
0 %
|
Resilience 3
|
0 %
|
Average Resilience
|
0 %
|
Minutes Reaction
|
no data
|
DIME Test ID: 2021-11-29-25-2
Test Method: ASTM D36-14ε1: Standard Test Method for Softening Point of Bitumen (Ring-and-Ball Apparatus) (Softening Point)
Verified Date: 12/09/2021
Date Tested: 12/09/2021
Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Organization Address: 5900 Folsom Boulevard, Room 225,
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:
Test Result Compliance: complies
Additional Comments When Verified:
ASTM Thermometer used?
|
C
|
Softening Point Sample 1
|
55 C
|
Softening Point Sample 2
|
55 C
|
Bath Liquid
|
freshly boiled distilled water
|
Minutes Reaction
|
no data
|