Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214700 DEA: 030F2804 EFIS: 0312000069
QA Service Level: 1
DIST-CO-RTE-PM: 03-SAC-99-7.1/9.4
Work Description: Dillard Overcrossing and McConnel Overhead
Location Description: Hwy 99, Elk Grove, CA
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 4001 Bradshaw Road, Sacramento, CA 95827
Resident Engineer: Saed Masoud Structure Rep.: Chau Ha
DIME Sample ID: 2022-08-07-17
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 Binder
Sample Taken Date: 08/07/2022
Date that the sample was received by the laboratory/organization performing the testing: 08/08/2022
The quantity of what the sample constitutes: 4 Cans
A brief description of the sample: Master Curve - Plastic Binder
From where was the sample collected: Other
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: VALERO
Performance Grade: PG 58-22
Modified: No
Lot number:
Sublot number:
Tank number:
Time of sample:
HMA Supplier: Granite Construction Company - Bradshaw
Certified Asphalt Supplier: Valero Marketing & Supply - Benicia CA
Multigrade: No
Multigrade Type:
Asphalt Binder Mix Number:
DIME Test ID: 2022-08-07-17-1
Test Method: ASTM D5-13: Standard Test Method for Penetration of Bituminous Materials
Verified Date: 05/31/2023
Date Tested: 05/31/2023
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: Pen for Plastic Binder
Test Result Compliance: not applicable
Additional Comments When Verified:
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Penetration Average
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28.9 mm
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