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Sample Record for 2022-03-15-30

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

Project Information

Project ID: 44444 DEA: ASCP EFIS: ASCP QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for submitting Sample information for Asphalt Supplier Certification Program.
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2022-03-15-30
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: Verification
Type of Material: Asphalt Binder
Sample Taken Date: 03/15/2022
Date that the sample was received by the laboratory/organization performing the testing: 04/07/2022
The quantity of what the sample constitutes: 2 of 2 cans, split sample
A brief description of the sample: Asphalt Binder Sample
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: WESTERN EMULSIONS WHITE CITY OR

Material Information

Performance Grade: PG 58-22
Modified: No
Lot number:
Sublot number:
Tank number:
Time of sample: 0800
HMA Supplier:
Certified Asphalt Supplier: Western Emulsion - White City Emulsion Plant - White City OR
Multigrade: No
Multigrade Type:
Asphalt Binder Mix Number:
Test results on following page(s): 3

Test Results

Test 1 of 3

DIME Test ID: 2022-03-15-30-1
Test Method: AASHTO T315-20: Standard Method of Test for Determining the Rheological Properties of Asphalt Binder Using a Dynamic Shear Rheometer (DSR) (Dynamic Shear)
Verified Date: 04/12/2022
Date Tested: 04/10/2022
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: OG
Test Result Compliance: complies
Additional Comments When Verified:
Phase Original binder
Test Plate Diameter 25 mm
Test Gap 1 mm
Test Frequency 10.0 rad/s
Strain Amplitude 12.00 %
Stress Amplitude 0.152 kPa
Phase Angle (δ) (for the 10 cycles) 86.9 degree
Complex Modulus (G*) (for the 10 measurements) 1.267 kPa
Test Temperature (Specimen 1) 58.0 C
Dynamic Shear, G*/sin(δ) 1.27 kPa

Test 2 of 3

DIME Test ID: 2022-03-15-30-2
Test Method: AASHTO T315-20: Standard Method of Test for Determining the Rheological Properties of Asphalt Binder Using a Dynamic Shear Rheometer (DSR) (Dynamic Shear)
Verified Date: 04/12/2022
Date Tested: 04/10/2022
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: RTFO
Test Result Compliance: complies
Additional Comments When Verified:
Phase RTFO residue
Test Plate Diameter 25 mm
Test Gap 1 mm
Test Frequency 10.0 rad/s
Strain Amplitude 10.00 %
Stress Amplitude 0.426 kPa
Phase Angle (δ) (for the 10 cycles) 81.4 degree
Complex Modulus (G*) (for the 10 measurements) 4.261 kPa
Test Temperature (Specimen 1) 58.0 C
Dynamic Shear, G*/sin(δ) 4.31 kPa

Test 3 of 3

DIME Test ID: 2022-03-15-30-3
Test Method: AASHTO T315-20: Standard Method of Test for Determining the Rheological Properties of Asphalt Binder Using a Dynamic Shear Rheometer (DSR) (Dynamic Shear)
Verified Date: 04/12/2022
Date Tested: 04/11/2022
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: PAV
Test Result Compliance: complies
Additional Comments When Verified:
Phase PAV residue
Test Plate Diameter 8 mm
Test Gap 2 mm
Test Frequency 10.0 rad/s
Strain Amplitude 1.00 %
Stress Amplitude 28.283 kPa
Phase Angle (δ) (for the 10 cycles) 45.9 degree
Complex Modulus (G*) (for the 10 measurements) 2824.212 kPa
Test Temperature (Specimen 1) 22.0 C
(G*) x sin(δ)= 2028 kPa