Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993297 DEA: 010F8204 EFIS: 0116000067
QA Service Level: 1
DIST-CO-RTE-PM: 01-HUM-101-R90.1/109.6
Work Description: PLACE RHMA-G AND HMA (TYPE A).
Location Description: IN HUMBOLDT COUNTY IN AND NEAR TRINIDAD FROM 1.3 MILES SOUTH OF SCHOOL ROAD OVERCROSSING TO 0.4 MILE NORTH OF BIG LAGOON BRIDGE
Contractor Name: MERCER-FRASER COMPANY
Contractor Address: 77 West Second Street, Eureka, CA 95501
Resident Engineer: Ryan Dunne Structure Rep.: Michele Stover
DIME Sample ID: 2022-08-23-87
TL Number from the TL Form: 032403
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: 08/23/2022
Date that the sample was received by the laboratory/organization performing the testing: 08/25/2022
The quantity of what the sample constitutes: 1 Can
A brief description of the sample: Asphalt Rubber Binder PG 64-16
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Mercer Fraser Fortuna Plant B
Asphalt modifier supplier:
Performance Grade: PG 64-16
Lot number: 1
Sublot number: 4
Asphalt Rubber Binder Mix Number:
DIME Test ID: 2022-08-23-87-1
Test Method: ASTM D217-16: Standard Test Methods for Cone Penetration of Lubricating Grease (Cone Penetration)
Verified Date: 09/22/2022
Date Tested: 09/21/2022
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:
Test Result Compliance: complies
Additional Comments When Verified:
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Determination
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Unworked Penetration
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Unworked Penetration
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31 0.1 mm
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DIME Test ID: 2022-08-23-87-3
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: 09/22/2022
Date Tested: 09/21/2022
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:
Test Result Compliance: complies
Additional Comments When Verified:
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Temperature
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25 C
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Final Dial reading (F1)
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59 mm
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Ball Penetration (P1)
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2 mm
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Final Dial reading (F2)
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59 mm
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Ball Penetration (P2)
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3 mm
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Final Dial reading (F3)
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59 mm
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Ball Penetration (P3)
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2 mm
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Resilience 1
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43 %
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Resilience 2
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44 %
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Resilience 3
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43 %
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Average Resilience
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43 %
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Minutes Reaction
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no data
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