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Testing Report for 2021-09-02-51-6

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

Project Information

DEA: 120P94U4
EFIS: 1217000076
Project ID: 214345
QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-133-3.2/R4.1
Work Description: ROADWAY WIDENING, RESTRIPING AND DRAINAGE WORK.
Location Description: ORANGE COUNTY IN THE CITY OF LAGUNA BEACH FROM 0.2 MILE SOUTH OF EL TORO ROAD TO ROUTE 73/133 SEPARATION
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Franklin Luna
Structure Rep.: Chungkeun (Chung) Lee

Sample Information

DIME Sample ID: 2021-09-02-51
TL Number from the TL Form:
Sample Submitted By Organization: CT - Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Verification
Type of Material: Asphalt Binder
Sample Taken Date: 9/2/2021
Date that the sample was received by the laboratory/organization performing the testing: 10/7/2021
The quantity of what the sample constitutes: 1 Quart Can
A brief description of the sample: PG Asphalt Binder
From where was the sample collected: Supplier
Laboratory sample identification: 0580-21
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Corona

Material Information

Performance Grade: PG 64-16
Modified: No
Lot number:
Sublot number:
Tank number:
Time of sample:
HMA Supplier:
Asphalt Binder Supplier: San Joaquin Refinery - Bakersfield CA
Multigrade: Yes
Multigrade Type: PG 64-16 / PG 64-10

Test Information

DIME Test ID: 2021-09-02-51-6
Test Method: AASHTO T44-18: Standard Method of Test for Solubility of Bituminous Materials
Date Tested: 10/11/2021
Verified Date: 10/12/2021
Submitted By Organization: CT - Southern Regional Laboratory
Organization Address: 13970 Victoria St,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: 213-792-4794
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified :

Submitted Test Results

Was test performed on residue from distillation or evaporation?: NA
Soluble, percent: 99.9 %
Insoluble, percent: 0.1 %