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Sample Record for 2022-05-17-12

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: 2022-05-17-12
TL Number from the TL Form:
Sample Submitted By Organization: HollyFrontier Asphalt Company LLC
Sample Organization Contact: (623) 939-3311
Type of Sample: Informational
Type of Material: Asphalt Binder
Sample Taken Date: 05/17/2022
Date that the sample was received by the laboratory/organization performing the testing: 05/17/2022
The quantity of what the sample constitutes: 1 quart can, split sample
A brief description of the sample: Asphalt Binder
From where was the sample collected: Supplier
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Holly Frontier Glendale

Material Information

Performance Grade: PG 64-16
Modified: No
Lot number:
Sublot number:
Tank number:
Time of sample:
HMA Supplier:
Certified Asphalt Supplier: Holly Frontier Asphalt Company - Glendale AZ
Multigrade: No
Multigrade Type:
Asphalt Binder Mix Number:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2022-05-17-12-1
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)
Verified Date: 05/18/2022
Date Tested: 05/17/2022
Submitted By Organization: HollyFrontier Asphalt Company LLC
Organization Address: 7110 West Northern Avenue,
Organization City: Glendale
Organization State: AZ
Organization Zipcode: 85303
Organization Email: thomas.ludlum@hollyfrontier.com
Organization Phone: (623) 939-3311
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) 75.0 degree
Dynamic Shear, G*/sin(δ) 1.25 kPa

Test 2 of 2

DIME Test ID: 2022-05-17-12-2
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)
Verified Date: 05/18/2022
Date Tested: 05/17/2022
Submitted By Organization: HollyFrontier Asphalt Company LLC
Organization Address: 7110 West Northern Avenue,
Organization City: Glendale
Organization State: AZ
Organization Zipcode: 85303
Organization Email: thomas.ludlum@hollyfrontier.com
Organization Phone: (623) 939-3311
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) 70.0 degree
Dynamic Shear, G*/sin(δ) 2.35 kPa