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Sample Record for 2022-01-31-29

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: 2022-01-31-29
TL Number from the TL Form:
Sample Submitted By Organization: RJ Noble Company
Sample Organization Contact: (714) 235-7028
Type of Sample: Aggregate Prequalification Program
Type of Material: Asphalt Binder
Sample Taken Date: 01/31/2022
Date that the sample was received by the laboratory/organization performing the testing: 01/30/2022
The quantity of what the sample constitutes: 4 cans of PG 58-22
A brief description of the sample: 4 pint cans
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: World Oil

Material Information

Performance Grade: PG 58-22
Modified: No
Lot number:
Sublot number:
Tank number:
Time of sample:
HMA Supplier:
Certified Asphalt Supplier: Lunday Thagard Company-World Oil - South Gate CA
Multigrade: No
Multigrade Type:
Asphalt Binder Mix Number:

Test Results

Test 1 of 2

DIME Test ID: 2022-01-31-29-1
Test Method: AASHTO T228-09r13: Standard Method of Test for Specific Gravity of Semi-Solid Asphalt Materials (Specific Gravity)
Verified Date: 02/08/2022
Date Tested: 01/30/2022
Submitted By Organization: RJ Noble Company
Organization Address: 15505 East Lincoln Avenue, P.O. BOX 620
Organization City: Orange
Organization State: CA
Organization Zipcode: 92865
Organization Email: qualitycontrol@rjnoblecompany.com
Organization Phone: (714) 235-7028
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Specific Gravity 1.016

Test 2 of 2

DIME Test ID: 2022-01-31-29-2
Test Method: AASHTO T315-12: Standard Method of Test for Determining the Rheological Properties of Asphalt Binder Using a Dynamic Shear Rheometer (DSR) (Dynamic Shear)
Verified Date: 02/08/2022
Date Tested: 01/30/2022
Submitted By Organization: RJ Noble Company
Organization Address: 15505 East Lincoln Avenue, P.O. BOX 620
Organization City: Orange
Organization State: CA
Organization Zipcode: 92865
Organization Email: qualitycontrol@rjnoblecompany.com
Organization Phone: (714) 235-7028
General Comments for this Test: NOT SURE WHAT I SHOULD HAVE IMPUTED ON THE PHASE. SO I JUST IMPUTED ORIGINAL BINDER. THE OIL C.O.C DOES NOT DISCLOSE THIS INFO
Test Result Compliance:
Additional Comments When Verified:
Phase Original binder
Phase Angle (δ) (for the 10 cycles) 84.0 degree
Dynamic Shear, G*/sin(δ) 0.00 kPa
(G*) x sin(δ)= no data