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Testing Report for 2021-03-30-3-5

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

DEA: ASCP
EFIS: ASCP
Project ID: 44444
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: 2021-03-30-3
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: 3/30/2021
Date that the sample was received by the laboratory/organization performing the testing: 3/30/2021
The quantity of what the sample constitutes: 1 of 2, split sample
A brief description of the sample: Asphalt Binder
From where was the sample collected: Manufacturer
Laboratory sample identification: 6416033021
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: San Joaquin Refinery

Material Information

Performance Grade: PG 64-16
Modified: No
Lot number:
Sublot number:
Tank number: 4
Time of sample: 7am
HMA Supplier:
Asphalt Binder Supplier: San Joaquin Refinery - Bakersfield CA
Multigrade:
Multigrade Type:

Test Information

DIME Test ID: 2021-03-30-3-5
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)
Date Tested: 3/30/2021
Verified Date: 3/30/2021
Submitted By Organization: Veleroo - Coolidge
Organization Address: 123 Abc St,
Organization City: Coolidge
Organization State: AZ
Organization Zipcode: 88888
Organization Email:
Organization Phone: 111-111-1111
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Phase: PAV residue
Test Plate Diameter: 8 mm
Phase Angle (δ) (for the 10 cycles): 51.7 degree
(G*) x sin(δ)=: 4567 kPa