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Sample Record for 2023-11-02-10

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

Project Information

Project ID: 215042 DEA: 100TST04 EFIS: 1020999999 QA Service Level: 1
DIST-CO-RTE-PM: 10-STA-5-26.1/27.0
Work Description: This is just a test EA, not tied to an actual project at all. Don't believe anything you read.
Location Description:
Contractor Name: ZZ-Acme Construction
Contractor Address: 1234 Main Street, AnyTown, CA 98765
Resident Engineer: Thomas Tutone Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-11-02-10
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: Quality Control
Type of Material: Asphalt Binder
Sample Taken Date: 11/02/2023
Date that the sample was received by the laboratory/organization performing the testing: 11/02/2023
The quantity of what the sample constitutes: TEST
A brief description of the sample: TEST
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: TEST

Material Information

Performance Grade: PG 58-16
Modified:
Lot number:
Sublot number:
Tank number:
Time of sample:
HMA Supplier:
Certified Asphalt Supplier: Advantage Sealing Systems - Fontana CA
Multigrade: No
Multigrade Type:
Asphalt Binder Mix Number:

Test Results

Test 1 of 2

DIME Test ID: 2023-11-02-10-1
Test Method: AASHTO T51-22: Standard Method of Test for Ductility of Asphalt Materials (Asphalt Binder)
Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (916) 227-7302
This test has been superseded on 11/02/2023. The corrected test ID is: 2023-11-02-10-2
Reason: corrected

Test 2 of 2

DIME Test ID: 2023-11-02-10-2
Test Method: AASHTO T51-22: Standard Method of Test for Ductility of Asphalt Materials (Asphalt Binder)
Verified Date: 11/02/2023
Date Tested: 11/02/2023
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:
The test was superseded from test ID: 2023-11-02-10-1
Test Result Compliance:
Additional Comments When Verified:
Is a normal test obtainable? Yes
Number of replicates tested One
Ductility of test #1 (D1) 150 cm
Ductility of sample 150 cm