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: 2024-05-08-84
TL Number from the TL Form:
Sample Submitted By Organization: Seventeen Twenty Oil Company
Sample Organization Contact: (562) 760-0349
Type of Sample: Quality Control
Type of Material: Asphalt Binder
Sample Taken Date: 05/08/2024
Date that the sample was received by the laboratory/organization performing the testing: 05/08/2024
The quantity of what the sample constitutes: 1 of 1
A brief description of the sample: Tank 3
From where was the sample collected: Manufacturer
Laboratory sample identification: 17206416052402
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Corona, CA
Performance Grade: PG 64-16
Modified:
Lot number:
Sublot number:
Tank number:
Time of sample:
HMA Supplier:
Certified Asphalt Supplier: Seventeen Twenty Oil Company - Corona CA
Multigrade: Yes
Multigrade Type: PG 64-16 / PG 64-10
Asphalt Binder Mix Number:
DIME Test ID: 2024-05-08-84-1
Test Method: AASHTO T316-17: Standard Method of Test for Viscosity Determination of Asphalt Binder Using Rotational Viscometer
Verified Date: 06/07/2024
Date Tested: 06/07/2024
Submitted By Organization: Seventeen Twenty Oil Company
Organization Address: 1385 East 6th Street,
Organization City: Corona
Organization State: CA
Organization Zipcode: 92879
Organization Email: shawn@1720oil.com
Organization Phone: (562) 760-0349
General Comments for this Test: Submitted from ASCP bulk upload.
Test Result Compliance:
Additional Comments When Verified:
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Is viscosity reading in cP/Pa-s?
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Pa-s
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Time of test
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no data
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Test Temperature
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no data
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Speed
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no data
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Spindle size
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no data
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Torque
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no data
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Viscosity reading #1 (A)
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no data
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Viscosity reading #2 (B)
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no data
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Viscosity reading #3 (C)
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no data
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Average viscosity
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0.378 Pa-s
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