Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 55555 DEA: AMRL EFIS: AMRL
QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for submitting Sample information for AASHTO Materials Reference Laboratory (AMRL).
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown
DIME Sample ID: 2021-11-03-3
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: Proficiency
Type of Material: Asphalt Binder
Sample Taken Date: 11/03/2021
Date that the sample was received by the laboratory/organization performing the testing: 11/03/2021
The quantity of what the sample constitutes: 1 can
A brief description of the sample: Viscosity Graded 266 (B)
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: AASHTO resource PSP
Performance Grade: PG 70-22
Modified:
Lot number:
Sublot number:
Tank number:
Time of sample:
HMA Supplier:
Certified Asphalt Supplier: AASHTO Resource - Frederick MD
Multigrade: No
Multigrade Type:
Asphalt Binder Mix Number:
DIME Test ID: 2021-11-03-3-1
Test Method: AASHTO T240-17: Standard Method of Test for Effect of Heat and Air on a Moving Film of Asphalt Binder (Rolling Thin-Film Oven Test)
Verified Date: 11/05/2021
Date Tested: 11/05/2021
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:
Test Result Compliance: complies
Additional Comments When Verified:
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Is mass change based on one or two containers?
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Two
|
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Any material loss from containers during heating process/testing?
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no data
|
|
Mass of empty container #1
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175.892 grams
|
|
Mass of empty container #2
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170.463 grams
|
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Mass of container #1 before test (m1i)
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211.322 grams
|
|
Mass of container #2 before test (m2i)
|
207.869 grams
|
|
Mass of container #1 after test (m1f)
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211.257 grams
|
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Mass of container #2 after test (m2f)
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207.803 grams
|
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Average mass change
|
-0.180 percent
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DIME Test ID: 2021-11-03-3-2
Test Method: AASHTO T228-09r13: Standard Method of Test for Specific Gravity of Semi-Solid Asphalt Materials (Specific Gravity)
Verified Date: 11/05/2021
Date Tested: 11/05/2021
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:
Test Result Compliance: complies
Additional Comments When Verified:
