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Sample Record for 2021-12-13-31

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

Project Information

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

Sample Information

DIME Sample ID: 2021-12-13-31
TL Number from the TL Form:
Sample Submitted By Organization: Western Emulsions, Incorporated - Coolidge
Sample Organization Contact: (208) 715-1675
Type of Sample: Quality Control
Type of Material: Asphalt Binder
Sample Taken Date: 12/13/2021
Date that the sample was received by the laboratory/organization performing the testing: 12/13/2021
The quantity of what the sample constitutes: 1 of 2, split sample
A brief description of the sample: Tank 50K1
From where was the sample collected: Manufacturer
Laboratory sample identification: 211213-7010-01
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Coolidge, AZ

Material Information

Performance Grade: PG 70-10
Modified: No
Lot number:
Sublot number:
Tank number:
Time of sample:
HMA Supplier:
Certified Asphalt Supplier: Western Emulsion - Coolidge Plant - Coolidge AZ
Multigrade: No
Multigrade Type:
Asphalt Binder Mix Number:
Test results on following page(s): 7

Test Results

Test 1 of 7

DIME Test ID: 2021-12-13-31-1
Test Method: AASHTO T316-17: Standard Method of Test for Viscosity Determination of Asphalt Binder Using Rotational Viscometer
Submitted By Organization: Western Emulsions, Incorporated - Coolidge
Organization Address: 3450 East 36th Street,
Organization City: Tucson
Organization State: AZ
Organization Zipcode: 85713
Organization Email: ltorres@westernemulsions.com
Organization Phone: (208) 715-1675
Data has not been verified.

Test 2 of 7

DIME Test ID: 2021-12-13-31-2
Test Method: AASHTO T315-20: Standard Method of Test for Determining the Rheological Properties of Asphalt Binder Using a Dynamic Shear Rheometer (DSR) (Dynamic Shear)
Submitted By Organization: Western Emulsions, Incorporated - Coolidge
Organization Address: 3450 East 36th Street,
Organization City: Tucson
Organization State: AZ
Organization Zipcode: 85713
Organization Email: ltorres@westernemulsions.com
Organization Phone: (208) 715-1675
Data has not been verified.

Test 3 of 7

DIME Test ID: 2021-12-13-31-3
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)
Submitted By Organization: Western Emulsions, Incorporated - Coolidge
Organization Address: 3450 East 36th Street,
Organization City: Tucson
Organization State: AZ
Organization Zipcode: 85713
Organization Email: ltorres@westernemulsions.com
Organization Phone: (208) 715-1675
Data has not been verified.

Test 4 of 7

DIME Test ID: 2021-12-13-31-4
Test Method: AASHTO T315-20: Standard Method of Test for Determining the Rheological Properties of Asphalt Binder Using a Dynamic Shear Rheometer (DSR) (Dynamic Shear)
Submitted By Organization: Western Emulsions, Incorporated - Coolidge
Organization Address: 3450 East 36th Street,
Organization City: Tucson
Organization State: AZ
Organization Zipcode: 85713
Organization Email: ltorres@westernemulsions.com
Organization Phone: (208) 715-1675
Data has not been verified.

Test 5 of 7

DIME Test ID: 2021-12-13-31-5
Test Method: AASHTO T315-20: Standard Method of Test for Determining the Rheological Properties of Asphalt Binder Using a Dynamic Shear Rheometer (DSR) (Dynamic Shear)
Submitted By Organization: Western Emulsions, Incorporated - Coolidge
Organization Address: 3450 East 36th Street,
Organization City: Tucson
Organization State: AZ
Organization Zipcode: 85713
Organization Email: ltorres@westernemulsions.com
Organization Phone: (208) 715-1675
Data has not been verified.

Test 6 of 7

DIME Test ID: 2021-12-13-31-6
Test Method: AASHTO T313-19: Standard Method of Test for Determining the Flexural Creep Stiffness of Asphalt Binder Using the Bending Beam Rheometer (BBR)
Submitted By Organization: Western Emulsions, Incorporated - Coolidge
Organization Address: 3450 East 36th Street,
Organization City: Tucson
Organization State: AZ
Organization Zipcode: 85713
Organization Email: ltorres@westernemulsions.com
Organization Phone: (208) 715-1675
Data has not been verified.

Test 7 of 7

DIME Test ID: 2021-12-13-31-7
Test Method: AASHTO T313-19: Standard Method of Test for Determining the Flexural Creep Stiffness of Asphalt Binder Using the Bending Beam Rheometer (BBR)
Submitted By Organization: Western Emulsions, Incorporated - Coolidge
Organization Address: 3450 East 36th Street,
Organization City: Tucson
Organization State: AZ
Organization Zipcode: 85713
Organization Email: ltorres@westernemulsions.com
Organization Phone: (208) 715-1675
Data has not been verified.