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Sample Record for 2023-06-05-72

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

Project Information

Project ID: 993547 DEA: 081G7204 EFIS: 0816000057 COOP: 081666 Permit Numbers: 0819AOP0691 QA Service Level: 2
DIST-CO-RTE-PM: 08---
Work Description: METS have reviewed the (Source Inspection Quality Management Plan) SIQMP, Rev1 submitted on behalf of The city of Lake Elsinore. We are glad to inform you that it significantly complies.
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Mike Mohammadi Structure Rep.: Shukri Abouazra

Sample Information

DIME Sample ID: 2023-06-05-72
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: Verification
Type of Material: Asphalt Rubber Binder
Sample Taken Date: 06/05/2023
Date that the sample was received by the laboratory/organization performing the testing: 07/21/2023
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: 0376-23
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: 2023-06-05-72-1
Test Method: ASTM D36-14ε1: Standard Test Method for Softening Point of Bitumen (Ring-and-Ball Apparatus) (Softening Point)
Verified Date: 08/23/2023
Date Tested: 07/24/2023
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:
Additional Comments When Verified:
ASTM Thermometer used? C
Softening Point Sample 1 62 C
Softening Point Sample 2 62 C
Bath Liquid freshly boiled distilled water
Minutes Reaction no data

Test 2 of 3

DIME Test ID: 2023-06-05-72-2
Test Method: ASTM D217-16: Standard Test Methods for Cone Penetration of Lubricating Grease (Cone Penetration)
Verified Date: 08/23/2023
Date Tested: 07/25/2023
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 32 0.1 mm

Test 3 of 3

DIME Test ID: 2023-06-05-72-3
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: 08/23/2023
Date Tested: 07/25/2023
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) 67 mm
Ball Penetration (P1) 0 mm
Final Dial reading (F2) 65 mm
Ball Penetration (P2) 0 mm
Final Dial reading (F3) 68 mm
Ball Penetration (P3) 0 mm
Resilience 1 33 %
Resilience 2 35 %
Resilience 3 32 %
Average Resilience 33 %
Minutes Reaction no data