Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
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
DIME Sample ID: 2021-12-08-36
TL Number from the TL Form:
Sample Submitted By Organization: VSS Emultech - West Sacramento
Sample Organization Contact: (916) 373-1500
Type of Sample: Quality Control
Type of Material: Asphalt Binder
Sample Taken Date: 12/08/2021
Date that the sample was received by the laboratory/organization performing the testing: 12/08/2021
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:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: VSS Emultech West Sac
Performance Grade: PG 64-16
Modified: No
Lot number:
Sublot number:
Tank number:
Time of sample:
HMA Supplier:
Certified Asphalt Supplier: VSS Emultech - West Sacramento CA
Multigrade: Yes
Multigrade Type: PG 64-16 / PG 64-10
Asphalt Binder Mix Number:
DIME Test ID: 2021-12-08-36-1
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: VSS Emultech - West Sacramento
Organization Address: 3785 Channel Drive,
Organization City: West Sacramento
Organization State: CA
Organization Zipcode: 95691
Organization Email: jack.dougherty@emultech.com
Organization Phone: (916) 373-1500
Data has not been verified.
DIME Test ID: 2021-12-08-36-2
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: VSS Emultech - West Sacramento
Organization Address: 3785 Channel Drive,
Organization City: West Sacramento
Organization State: CA
Organization Zipcode: 95691
Organization Email: jack.dougherty@emultech.com
Organization Phone: (916) 373-1500
Data has not been verified.
DIME Test ID: 2021-12-08-36-3
Test Method: AASHTO T315-20: Standard Method of Test for Determining the Rheological Properties of Asphalt Binder Using a Dynamic Shear Rheometer (DSR) (Dynamic Shear)
Submitted By Organization: VSS Emultech - West Sacramento
Organization Address: 3785 Channel Drive,
Organization City: West Sacramento
Organization State: CA
Organization Zipcode: 95691
Organization Email: jack.dougherty@emultech.com
Organization Phone: (916) 373-1500
Data has not been verified.
