Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
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
DIME Sample ID: 2021-03-16-1
TL Number from the TL Form:
Sample Submitted By Organization: Veleroo Marketing and Supply
Sample Organization Contact: 222-222-2222
Type of Sample: Dispute Resolution
Type of Material: Asphalt Binder
Sample Taken Date: 03/16/2021
Date that the sample was received by the laboratory/organization performing the testing: 03/02/2021
The quantity of what the sample constitutes: 1 can each, *Test20, 17(037386),18(037387),19(037388), 20(037389)
A brief description of the sample: teset
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: System Test
Performance Grade: PG 64-28
Modified:
Lot number:
Sublot number:
Tank number:
Time of sample:
HMA Supplier:
Certified Asphalt Supplier: PNAC LLC - Fernley NV
Multigrade:
Multigrade Type:
Asphalt Binder Mix Number:
DIME Test ID: 2021-03-16-1-1
Test Method: AASHTO R28-16: Accelerated Aging of Asphalt Binder Using a Pressurized Aging Vessel (PAV)
Verified Date: 03/22/2021
Date Tested: 03/22/2021
Submitted By Organization: Veleroo Marketing and Supply
Organization Address: 123 Def Street,
Organization City: Benicia
Organization State: CA
Organization Zipcode: 94510
Organization Email: binderlab2@gmail.com
Organization Phone: (222) 222-2222
General Comments for this Test: test
Test Result Compliance:
Additional Comments When Verified:
Sample identification
|
1234
|
Aging Test Temperature, nearest 0.5 C
|
3.8 C
|
Minimum aging temperature recorded
|
3.3 C
|
Maximum aging temperature recorded
|
3.4 C
|
Total time during aging that temperature was outside the specified range
|
34 minutes
|
Total aging time (hour)
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34 hours
|
Total aging time (minute)
|
234 minutes
|
The heating temperature
|
23 C
|