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Sample Record for 2023-05-01-38

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: 2023-05-01-38
TL Number from the TL Form:
Sample Submitted By Organization: Albina Asphalt
Sample Organization Contact: (503) 539-3830
Type of Sample: Verification
Type of Material: Asphalt Binder
Sample Taken Date: 05/01/2023
Date that the sample was received by the laboratory/organization performing the testing: 05/01/2023
The quantity of what the sample constitutes: 1 of 1
A brief description of the sample: Tank 40
From where was the sample collected: Manufacturer
Laboratory sample identification: PG64165123KF40
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Klamath Falls, OR

Material Information

Performance Grade: PG 64-10
Modified:
Lot number:
Sublot number:
Tank number:
Time of sample:
HMA Supplier:
Certified Asphalt Supplier: Albina Asphalt
Multigrade:
Multigrade Type:
Asphalt Binder Mix Number:
Test results on following page(s): 9

Test Results

Test 1 of 9

DIME Test ID: 2023-05-01-38-1
Test Method: AASHTO T316-17: Standard Method of Test for Viscosity Determination of Asphalt Binder Using Rotational Viscometer
Submitted By Organization: Albina Asphalt
Organization Address: 801 Main Street,
Organization City: Vancouver
Organization State: WA
Organization Zipcode: 98686
Organization Email: keven.heitschmidt@albina.com
Organization Phone: (503) 539-3830
Data has not been verified.

Test 2 of 9

DIME Test ID: 2023-05-01-38-2
Test Method: AASHTO T48-18: Standard Method of Test for Flash Point of Asphalt Binder by Cleveland Open Cup
Submitted By Organization: Albina Asphalt
Organization Address: 801 Main Street,
Organization City: Vancouver
Organization State: WA
Organization Zipcode: 98686
Organization Email: keven.heitschmidt@albina.com
Organization Phone: (503) 539-3830
Data has not been verified.

Test 3 of 9

DIME Test ID: 2023-05-01-38-3
Test Method: AASHTO T51-22: Standard Method of Test for Ductility of Asphalt Materials (Asphalt Binder)
Submitted By Organization: Albina Asphalt
Organization Address: 801 Main Street,
Organization City: Vancouver
Organization State: WA
Organization Zipcode: 98686
Organization Email: keven.heitschmidt@albina.com
Organization Phone: (503) 539-3830
Data has not been verified.

Test 4 of 9

DIME Test ID: 2023-05-01-38-4
Test Method: AASHTO T315-22: Standard Method of Test for Determining the Rheological Properties of Asphalt Binder Using a Dynamic Shear Rheometer (DSR) (Dynamic Shear)
Submitted By Organization: Albina Asphalt
Organization Address: 801 Main Street,
Organization City: Vancouver
Organization State: WA
Organization Zipcode: 98686
Organization Email: keven.heitschmidt@albina.com
Organization Phone: (503) 539-3830
Data has not been verified.

Test 5 of 9

DIME Test ID: 2023-05-01-38-5
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: Albina Asphalt
Organization Address: 801 Main Street,
Organization City: Vancouver
Organization State: WA
Organization Zipcode: 98686
Organization Email: keven.heitschmidt@albina.com
Organization Phone: (503) 539-3830
Data has not been verified.

Test 6 of 9

DIME Test ID: 2023-05-01-38-6
Test Method: AASHTO T315-22: Standard Method of Test for Determining the Rheological Properties of Asphalt Binder Using a Dynamic Shear Rheometer (DSR) (Dynamic Shear)
Submitted By Organization: Albina Asphalt
Organization Address: 801 Main Street,
Organization City: Vancouver
Organization State: WA
Organization Zipcode: 98686
Organization Email: keven.heitschmidt@albina.com
Organization Phone: (503) 539-3830
Data has not been verified.

Test 7 of 9

DIME Test ID: 2023-05-01-38-7
Test Method: AASHTO T315-22: Standard Method of Test for Determining the Rheological Properties of Asphalt Binder Using a Dynamic Shear Rheometer (DSR) (Dynamic Shear)
Submitted By Organization: Albina Asphalt
Organization Address: 801 Main Street,
Organization City: Vancouver
Organization State: WA
Organization Zipcode: 98686
Organization Email: keven.heitschmidt@albina.com
Organization Phone: (503) 539-3830
Data has not been verified.

Test 8 of 9

DIME Test ID: 2023-05-01-38-8
Test Method: AASHTO T313-22: Standard Method of Test for Determining the Flexural Creep Stiffness of Asphalt Binder Using the Bending Beam Rheometer (BBR)
Submitted By Organization: Albina Asphalt
Organization Address: 801 Main Street,
Organization City: Vancouver
Organization State: WA
Organization Zipcode: 98686
Organization Email: keven.heitschmidt@albina.com
Organization Phone: (503) 539-3830
Data has not been verified.

Test 9 of 9

DIME Test ID: 2023-05-01-38-9
Test Method: AASHTO T313-22: Standard Method of Test for Determining the Flexural Creep Stiffness of Asphalt Binder Using the Bending Beam Rheometer (BBR)
Submitted By Organization: Albina Asphalt
Organization Address: 801 Main Street,
Organization City: Vancouver
Organization State: WA
Organization Zipcode: 98686
Organization Email: keven.heitschmidt@albina.com
Organization Phone: (503) 539-3830
Data has not been verified.