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Testing Report for 2021-06-15-44-4

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

Project Information

DEA: 021J5204
EFIS: 0220000087
Project ID: 215441
QA Service Level: 1
DIST-CO-RTE-PM: 02-MOD,SIS-139-34.0/50.7,0.0/5.0
Work Description: PLACE ASPHALT RUBBER BINDER CHIP SEAL & REPLACE AC SURFACING.
Location Description: MODOC AND SISKIYOU COUNTIES AT AND NEAR NEWELL FROM 3.3 MILES NORTH OF PEREZ OVERHEAD TO ROUTE 161
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Austin Henry
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-06-15-44
TL Number from the TL Form: c990930
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: 6/15/2021
Date that the sample was received by the laboratory/organization performing the testing: 7/2/2021
The quantity of what the sample constitutes: 1 of 1 gallon can
A brief description of the sample: Rubberized PG58-22
From where was the sample collected: Distributor
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Albina - Klamath Falls

Material Information

Asphalt modifier supplier:
Performance Grade: PG 58-22
Lot number:
Sublot number:

Test Information

DIME Test ID: 2021-06-15-44-4
Test Method: ASTM D217-16: Standard Test Methods for Cone Penetration of Lubricating Grease (Cone Penetration)
Date Tested: 7/8/2021
Verified Date: 7/9/2021
Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Organization Address: 5900 Folsom Blvd,
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: Per 2018 Standard Specifications
Test Result Compliance: complies
Additional Comments When Verified :

Submitted Test Results

Determination: Unworked Penetration
Unworked Penetration: 65 0.1 mm