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Testing Report for 2021-04-21-22-1

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: 2021-04-21-22
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Verification
Type of Material: Asphalt Binder
Sample Taken Date: 4/21/2021
Date that the sample was received by the laboratory/organization performing the testing: 5/7/2021
The quantity of what the sample constitutes: 1 OF 4 CANS
A brief description of the sample: Asphalt Binder
From where was the sample collected: Manufacturer
Laboratory sample identification: 042121-088
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: WORLD OIL

Material Information

Performance Grade: PG 58-22
Modified: No
Lot number:
Sublot number:
Tank number: 1234
Time of sample: 12:30AM
HMA Supplier:
Asphalt Binder Supplier: Lunday Thagard Company-World Oil - South Gate CA
Multigrade: No
Multigrade Type:

Test Information

DIME Test ID: 2021-04-21-22-1
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)
Date Tested: 5/11/2021
Verified Date: 5/25/2021
Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (916) 227-7302
General Comments for this Test: as per 2018 standard specs
Test Result Compliance: complies
Additional Comments When Verified :

Submitted Test Results

Is mass change based on one or two containers?: Two
Any material loss from containers during heating process/testing?: No
Mass of empty container #1: 176.994 grams
Mass of empty container #2: 177.000 grams
Mass of container #1 before test (m1i): 212.214 grams
Mass of container #2 before test (m2i): 213.206 grams
Mass of container #1 after test (m1f): 212.216 grams
Mass of container #2 after test (m2f): 213.207 grams
Average mass change: 0.004 percent