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Sample Record for 2021-03-24-20

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: 2021-03-24-20
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: 03/24/2021
Date that the sample was received by the laboratory/organization performing the testing: 03/24/2021
The quantity of what the sample constitutes: 1 of 2 split sample
A brief description of the sample: COC asphalt binder
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Western Emulsions Inc

Material Information

Performance Grade: PG 70-10
Modified: No
Lot number:
Sublot number:
Tank number: 25K3
Time of sample: 8:00AM
HMA Supplier:
Certified Asphalt Supplier: Valero Coolidge - Coolidge AZ
Multigrade:
Multigrade Type:
Asphalt Binder Mix Number:
Test results on following page(s): 6

Test Results

Test 1 of 6

DIME Test ID: 2021-03-24-20-1
Test Method: AASHTO T316-17: Standard Method of Test for Viscosity Determination of Asphalt Binder Using Rotational Viscometer
Verified Date: 04/05/2021
Date Tested: 03/24/2021
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: need to verify torque
Test Result Compliance:
Additional Comments When Verified:
Is viscosity reading in cP/Pa-s? Pa-s
Time of test 10:00 HH:MM
Test Temperature 135.0 C
Speed 20 rpm
Spindle size 21 in
Torque 23.0 %
Viscosity reading #1 (A) 0.645 Pa-s
Viscosity reading #2 (B) 0.645 Pa-s
Viscosity reading #3 (C) 0.645 Pa-s
Average viscosity 0.645 Pa-s

Test 2 of 6

DIME Test ID: 2021-03-24-20-2
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: 04/05/2021
Date Tested: 03/24/2021
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) 87.9 degree
Dynamic Shear, G*/sin(δ) 1.58 kPa

Test 3 of 6

DIME Test ID: 2021-03-24-20-3
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: 04/05/2021
Date Tested: 03/24/2021
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 RTFO residue
Test Plate Diameter 25 mm
Phase Angle (δ) (for the 10 cycles) 85.0 degree
Dynamic Shear, G*/sin(δ) 4.42 kPa

Test 4 of 6

DIME Test ID: 2021-03-24-20-4
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)
Verified Date: 04/05/2021
Date Tested: 03/24/2021
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:
Is mass change based on one or two containers? Two
Average mass change -0.256 percent

Test 5 of 6

DIME Test ID: 2021-03-24-20-5
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: 04/05/2021
Date Tested: 03/25/2021
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) no data0
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 109.000 mPa
Estimated Stiffness Modulus 60.0 s 109.000 mPa
Difference between stiffness moduli 60.0 s no data
Estimated m-value 60.0 s 0.370

Test 6 of 6

DIME Test ID: 2021-03-24-20-6
Test Method: AASHTO T48-18: Standard Method of Test for Flash Point of Asphalt Binder by Cleveland Open Cup
Verified Date: 04/05/2021
Date Tested: 03/24/2021
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:
Units of measurement for Observed Flash Point (C or F) and Ambient barometric pressure (kP or mmHg) Celsius and mmHg
Observed Flash Point 316 C
Ambient Barometric Pressure 28.4 mmHg
Cleveland Open-Cup Flash Point in Celsius 317 C