Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 44444 DEA: ASCP EFIS: ASCP
QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for submitting Sample information for Asphalt Supplier Certification Program.
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown
DIME Sample ID: 2026-07-23-56
TL Number from the TL Form:
Sample Submitted By Organization: Ergon Asphalt & Emulsions
Sample Organization Contact: (702) 736-2059
Type of Sample: Verification
Type of Material: Asphalt Binder
Sample Taken Date: 07/23/2026
Date that the sample was received by the laboratory/organization performing the testing: 07/23/2026
The quantity of what the sample constitutes: 1 of 1
A brief description of the sample: Blender
From where was the sample collected: Manufacturer
Laboratory sample identification: Z32211760
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Las Vegas, NV
Performance Grade: PG 58-34M
Modified:
Lot number:
Sublot number:
Tank number:
Time of sample:
HMA Supplier:
Certified Asphalt Supplier: Ergon Asphalt & Emulsions
Multigrade: No
Multigrade Type:
Asphalt Binder Mix Number:
HMA Type:
HMA Supplier Mix ID Number:
DIME Test ID: 2026-07-23-56-1
Test Method: AASHTO T315-24: Standard Method of Test for Determining the Rheological Properties of Asphalt Binder Using a Dynamic Shear Rheometer (DSR) (Dynamic Shear)
Verified Date: 07/31/2026
Date Tested: 07/31/2026
Submitted By Organization: Ergon Asphalt & Emulsions
Organization Address: 3901 West Ponderosa Way,
Organization City: Las Vegas
Organization State: NV
Organization Zipcode: 89118
Organization Email: mayelin.serrano@ergon.com
Organization Phone: (702) 736-2059
General Comments for this Test: Submitted from ASCP bulk upload.
Test Result Compliance:
Additional Comments When Verified:
|
Phase
|
Original binder
|
|
Phase Angle (δ) (for the 10 cycles)
|
no data
|
|
Dynamic Shear, G*/sin(δ)
|
1.91 kPa
|
DIME Test ID: 2026-07-23-56-2
Test Method: AASHTO T316-22: Standard Method of Test for Viscosity Determination of Asphalt Binder Using Rotational Viscometer
Verified Date: 07/31/2026
Date Tested: 07/31/2026
Submitted By Organization: Ergon Asphalt & Emulsions
Organization Address: 3901 West Ponderosa Way,
Organization City: Las Vegas
Organization State: NV
Organization Zipcode: 89118
Organization Email: mayelin.serrano@ergon.com
Organization Phone: (702) 736-2059
General Comments for this Test: Submitted from ASCP bulk upload.
Test Result Compliance:
Additional Comments When Verified:
|
Is viscosity reading in cP/Pa-s?
|
Pa-s
|
|
Time of test
|
no data
|
|
Test Temperature
|
no data
|
|
Speed
|
no data
|
|
Spindle size
|
no data
|
|
Torque
|
no data
|
|
Viscosity reading #1 (A)
|
no data
|
|
Viscosity reading #2 (B)
|
no data
|
|
Viscosity reading #3 (C)
|
no data
|
|
Average viscosity
|
0.75 Pa-s
|
