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Sample Record for 2020-12-14-16

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

Project Information

Project ID: 99999 DEA: 0322222 QA Service Level:
DIST-CO-RTE-PM: 03-SAC,OMG-888,99,80-0.6-0.6
Work Description: THIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Location Description: THIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-12-14-16
TL Number from the TL Form:
Sample Submitted By Organization: Veleroo - NuStar PAT
Sample Organization Contact: 111-111-1111
Type of Sample: Quality Control
Type of Material: Asphalt Binder
Sample Taken Date: 12/14/2020
Date that the sample was received by the laboratory/organization performing the testing: 12/13/2020
The quantity of what the sample constitutes: 1
A brief description of the sample: test
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Test

Material Information

Performance Grade: PG 64-10
Modified: No
Lot number:
Sublot number:
Tank number:
Time of sample:
HMA Supplier:
Asphalt Binder Supplier:
Multigrade:
Multigrade Type:

Test Results

Test 1 of 2

DIME Test ID: 2020-12-14-16-1
Test Method: AASHTO T315-16: Standard Method of Test for Determining the Rheological Properties of Asphalt Binder Using a Dynamic Shear Rheometer (DSR) (Dynamic Shear)
Verified Date: 12/16/2020
Date Tested: 12/16/2020
Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Organization Address: 5900 Folsom Blvd,
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:
Additional Comments When Verified:
Phase Original binder
Test Plate Diameter 8 mm
Phase Angle (δ) (for the 10 cycles) 0.0 degree
Dynamic Shear, G*/sin(δ) 1.33 kPa

Test 2 of 2

DIME Test ID: 2020-12-14-16-2
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: Veleroo - NuStar PAT
Organization Address: 123 Abc St,
Organization City: Pittsburg
Organization State: CA
Organization Zipcode: 94565
Organization Email:
Organization Phone: 111-111-1111
Data has not been verified.

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
2020-12-14-16-3AASHTO T201-15: Standard Method of Test for Kinematic Viscosity of Asphalts (Bitumens) (Residue from RTFO)01/21/202101/22/2021Bob ScottCT HQ - Sacramento Materials Management Branch Field OfficeTesting the systemBob Scott