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Testing Report for 2021-05-10-18-2

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: 2021-05-10-18
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: 05/10/2021
Date that the sample was received by the laboratory/organization performing the testing: 05/20/2021
The quantity of what the sample constitutes: 1 out of 1
A brief description of the sample: Binder
From where was the sample collected: Manufacturer
Laboratory sample identification: 051021-5
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: PNAC llc fernley

Material Information

Performance Grade: PG 58-34 M
Modified: Yes
Lot number:
Sublot number:
Tank number: 5
Time of sample: 7AM
HMA Supplier:
Asphalt Binder Supplier: PNAC LLC - Fernley NV
Multigrade: No
Multigrade Type:

Test Information

DIME Test ID: 2021-05-10-18-1
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)
Verified Date: 06/01/2021
Date Tested: 05/26/2021
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: per 2018 standard specs
Test Result Compliance: complies
Additional Comments When Verified :

Submitted Test Results

Final Reading from the testing machine (X) 3 cm
% Elongation Recovery 85 %