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Sample Record for 2022-02-02-21

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:
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: 2022-02-02-21
TL Number from the TL Form:
Sample Submitted By Organization: WORLD OIL
Sample Organization Contact: (562) 889-2544
Type of Sample: Verification
Type of Material: Asphalt Binder
Sample Taken Date: 02/02/2022
Date that the sample was received by the laboratory/organization performing the testing: 02/02/2022
The quantity of what the sample constitutes: 1 of 1
A brief description of the sample: Tank 1234
From where was the sample collected: Manufacturer
Laboratory sample identification: 020222-011
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: South Gate, CA

Material Information

Performance Grade: PG 58-22
Lot number:
Sublot number:
Tank number:
Time of sample:
HMA Supplier:
Asphalt Binder Supplier: World Oil Refining
Multigrade Type:
Asphalt Binder Mix Number:

Test Results

Test 1 of 1

DIME Test ID: 2022-02-02-21-1
Test Method: AASHTO T316-17: Standard Method of Test for Viscosity Determination of Asphalt Binder Using Rotational Viscometer
Verified Date: 02/08/2022
Date Tested: 02/08/2022
Submitted By Organization: WORLD OIL
Organization Address: 9302 Garfield Avenue,
Organization City: South Gate
Organization State: CA
Organization Zipcode: 90280
Organization Email:
Organization Phone: (562) 889-2544
General Comments for this Test: Submitted from ASCP bulk upload.
Test Result Compliance:
Additional Comments When Verified:
Is viscosity reading in cP/Pa-s? Pa-s
Time of test no data HH:MM
Test Temperature 0 C
Speed 0 rpm
Spindle size no data in
Torque 0 %
Viscosity reading #1 (A) no data
Viscosity reading #2 (B) no data
Viscosity reading #3 (C) no data
Average viscosity 0.279 Pa-s