Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994543 DEA: 023J7604 EFIS: 0222000081
QA Service Level: 1
DIST-CO-RTE-PM: 02-SHA-273-12.8/14.6
Work Description: COLD PLANE ASPHALT CONCRETE PAVEMENT AND PLACE RUBBERIZED HMA-G.
Location Description: SHASTA COUNTY IN REDDING FROM 0.1 MILE NORTH OF CEDARS ROAD/S BONNYVIEW ROAD TO 0.1 MILE NORTH OF BUENAVENTURA BOULEVARD
Contractor Name: TULLIS INC.
Contractor Address: Unknown
Resident Engineer: Edward Worden Structure Rep.: Unknown
DIME Sample ID: 2023-08-20-12
TL Number from the TL Form: 825033
Sample Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Department Acceptance
Type of Material: Asphalt Rubber Binder
Sample Taken Date: 08/20/2023
Date that the sample was received by the laboratory/organization performing the testing: 10/16/2023
The quantity of what the sample constitutes: 1 of 1 can
A brief description of the sample: 1/2 RHMA PG 64-10
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: WORTH STATE ASPHALT
Asphalt modifier supplier: VALERO BANICIA, CA
Performance Grade: PG 64-16
Lot number:
Sublot number:
Asphalt Rubber Binder Mix Number:
DIME Test ID: 2023-08-20-12-1
Test Method: ASTM D217-16: Standard Test Methods for Cone Penetration of Lubricating Grease (Cone Penetration)
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
Data has not been verified.
DIME Test ID: 2023-08-20-12-2
Test Method: ASTM D36-14ε1: Standard Test Method for Softening Point of Bitumen (Ring-and-Ball Apparatus) (Softening Point)
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
Data has not been verified.
DIME Test ID: 2023-08-20-12-3
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)
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
Data has not been verified.
