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Sample Record for 2021-03-05-3

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: Michael Maksimovich Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-03-05-3
TL Number from the TL Form:
Sample Submitted By Organization: Veleroo - Coolidge
Sample Organization Contact: 111-111-1111
Type of Sample: Quality Control
Type of Material: Asphalt Binder
Sample Taken Date: 03/05/2021
Date that the sample was received by the laboratory/organization performing the testing: 03/05/2021
The quantity of what the sample constitutes: 2 cans, split sample
A brief description of the sample: Asphalt Binder
From where was the sample collected: Manufacturer
Laboratory sample identification: 6416-100520
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: VSS Emultech

Material Information

Performance Grade: PG 64-16
Modified: No
Lot number:
Sublot number:
Tank number: 3
Time of sample: 8:00am
HMA Supplier:
Certified Asphalt Supplier: Pacific Northwest Oil - Stockton CA
Multigrade:
Multigrade Type:
Asphalt Binder Mix Number:
Test results on following page(s): 4

Test Results

Test 1 of 4

DIME Test ID: 2021-03-05-3-1
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: 03/05/2021
Date Tested: 03/05/2021
Submitted By Organization: Veleroo - Coolidge
Organization Address: 123 Abc Street,
Organization City: Coolidge
Organization State: AZ
Organization Zipcode: 88888
Organization Email: binderlab1@gmail.com
Organization Phone: (111) 111-1111
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Phase Original binder
Test Plate Diameter 25 mm
Phase Angle (δ) (for the 10 cycles) 58.3 degree
Dynamic Shear, G*/sin(δ) 2.60 kPa

Test 2 of 4

DIME Test ID: 2021-03-05-3-2
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: 03/05/2021
Date Tested: 03/05/2021
Submitted By Organization: Veleroo - Coolidge
Organization Address: 123 Abc Street,
Organization City: Coolidge
Organization State: AZ
Organization Zipcode: 88888
Organization Email: binderlab1@gmail.com
Organization Phone: (111) 111-1111
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Phase Original binder
Test Plate Diameter 25 mm
Phase Angle (δ) (for the 10 cycles) 49.3 degree
Dynamic Shear, G*/sin(δ) 1.36 kPa

Test 3 of 4

DIME Test ID: 2021-03-05-3-3
Test Method: AASHTO T313-19: Standard Method of Test for Determining the Flexural Creep Stiffness of Asphalt Binder Using the Bending Beam Rheometer (BBR)
Verified Date: 03/05/2021
Date Tested: 03/05/2021
Submitted By Organization: Veleroo - Coolidge
Organization Address: 123 Abc Street,
Organization City: Coolidge
Organization State: AZ
Organization Zipcode: 88888
Organization Email: binderlab1@gmail.com
Organization Phone: (111) 111-1111
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Time test started no data HH:MM:SS
Flags issued by software during test no data
Correlation coefficient (R²) 0
Regression coefficient a no data
Regression coefficient b no data
Regression coefficient c no data
Load at time 0.0 0.0 mN
Deflection at time 0.0 s 0.000 µm
Load at time 0.5 s 0.0 mN
Deflection at time 0.5 s 0.000 µm
Load at 60.0 s 0.0 mN
Beam deflection 60.0 s 0.000 µm
Measured Stiffness Modulus 60.0 s 260.000 mPa
Estimated Stiffness Modulus 60.0 s no data
Difference between stiffness moduli 60.0 s no data
Estimated m-value 60.0 s 0.331

Test 4 of 4

DIME Test ID: 2021-03-05-3-4
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: 03/05/2021
Date Tested: 03/05/2021
Submitted By Organization: Veleroo - Coolidge
Organization Address: 123 Abc Street,
Organization City: Coolidge
Organization State: AZ
Organization Zipcode: 88888
Organization Email: binderlab1@gmail.com
Organization Phone: (111) 111-1111
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Phase Original binder
Test Plate Diameter 25 mm
Phase Angle (δ) (for the 10 cycles) 48.4 degree
Dynamic Shear, G*/sin(δ) 1.36 kPa