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Sample Record for 2021-06-14-14

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: 2021-06-14-14
TL Number from the TL Form:
Sample Submitted By Organization: Western Emulsions, Inc. - Coolidge
Sample Organization Contact: (520) 624-4130
Type of Sample: Quality Control
Type of Material: Asphalt Binder
Sample Taken Date: 06/14/2021
Date that the sample was received by the laboratory/organization performing the testing: 06/14/2021
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: 210614-03-7010
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: 50K1
Time of sample: 12:45 PM
HMA Supplier:
Asphalt Binder Supplier: Western Emulsions - Coolidge Plant - Coolidge AZ
Multigrade: No
Multigrade Type:

Test Results

Test 1 of 6

DIME Test ID: 2021-06-14-14-1
Test Method: AASHTO T316-17: Standard Method of Test for Viscosity Determination of Asphalt Binder Using Rotational Viscometer
Submitted By Organization: Western Emulsions, Inc. - Coolidge
Organization Address: 485 E Randolph Rd,
Organization City: Coolidge
Organization State: AZ
Organization Zipcode: 85128
Organization Email:
Organization Phone: (520) 624-4130
Data has not been verified.

Test 2 of 6

DIME Test ID: 2021-06-14-14-2
Test Method: AASHTO T313-19: Standard Method of Test for Determining the Flexural Creep Stiffness of Asphalt Binder Using the Bending Beam Rheometer (BBR)
Submitted By Organization: Western Emulsions, Inc. - Coolidge
Organization Address: 485 E Randolph Rd,
Organization City: Coolidge
Organization State: AZ
Organization Zipcode: 85128
Organization Email:
Organization Phone: (520) 624-4130
Data has not been verified.

Test 3 of 6

DIME Test ID: 2021-06-14-14-3
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: Western Emulsions, Inc. - Coolidge
Organization Address: 485 E Randolph Rd,
Organization City: Coolidge
Organization State: AZ
Organization Zipcode: 85128
Organization Email:
Organization Phone: (520) 624-4130
Data has not been verified.

Test 4 of 6

DIME Test ID: 2021-06-14-14-4
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)
Submitted By Organization: Western Emulsions, Inc. - Coolidge
Organization Address: 485 E Randolph Rd,
Organization City: Coolidge
Organization State: AZ
Organization Zipcode: 85128
Organization Email:
Organization Phone: (520) 624-4130
Data has not been verified.

Test 5 of 6

DIME Test ID: 2021-06-14-14-5
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)
Submitted By Organization: Western Emulsions, Inc. - Coolidge
Organization Address: 485 E Randolph Rd,
Organization City: Coolidge
Organization State: AZ
Organization Zipcode: 85128
Organization Email:
Organization Phone: (520) 624-4130
Data has not been verified.

Test 6 of 6

DIME Test ID: 2021-06-14-14-6
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)
Submitted By Organization: Western Emulsions, Inc. - Coolidge
Organization Address: 485 E Randolph Rd,
Organization City: Coolidge
Organization State: AZ
Organization Zipcode: 85128
Organization Email:
Organization Phone: (520) 624-4130
Data has not been verified.

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.