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Sample Record for 2022-07-20-46

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

Project Information

Project ID: 993593 DEA: 120S8804 EFIS: 1221000057 QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-57-14.7/22.5
Work Description: INSTALL INDIVIDUAL SLAB REPLACEMENT, RHMA AND TRAFFIC STRIPES.
Location Description: ORANGE COUNTY FROM LINCOLN AVENUE OVERCROSSING IN ANAHEIM TO LOS ANGELES COUNTY LINE IN BREA
Contractor Name: RV Concrete
Contractor Address: 605 E Commercial Street, Anaheim, CA 92801
Resident Engineer: Steven Kim Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2022-07-20-46
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: Per Request
Type of Material: Asphalt Rubber Binder
Sample Taken Date: 07/20/2022
Date that the sample was received by the laboratory/organization performing the testing: 07/27/2022
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: 0499-22
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: AAA-Corona

Material Information

Asphalt modifier supplier:
Performance Grade: PG 64-16
Lot number:
Sublot number:
Asphalt Rubber Binder Mix Number:
Test results on following page(s): 3

Test Results

Test 1 of 3

DIME Test ID: 2022-07-20-46-1
Test Method: ASTM D36-14ε1: Standard Test Method for Softening Point of Bitumen (Ring-and-Ball Apparatus) (Softening Point)
Verified Date: 12/28/2022
Date Tested: 07/28/2022
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 61 C
Softening Point Sample 2 61 C
Bath Liquid freshly boiled distilled water
Minutes Reaction no data

Test 2 of 3

DIME Test ID: 2022-07-20-46-2
Test Method: ASTM D217-16: Standard Test Methods for Cone Penetration of Lubricating Grease (Cone Penetration)
Verified Date: 12/28/2022
Date Tested: 07/29/2022
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 34 0.1 mm

Test 3 of 3

DIME Test ID: 2022-07-20-46-3
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: 12/28/2022
Date Tested: 07/29/2022
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) 57 mm
Ball Penetration (P1) 0 mm
Final Dial reading (F2) 56 mm
Ball Penetration (P2) 0 mm
Final Dial reading (F3) 56 mm
Ball Penetration (P3) 0 mm
Resilience 1 43 %
Resilience 2 44 %
Resilience 3 44 %
Average Resilience 44 %
Minutes Reaction no data