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Testing Report for 2021-05-05-31-3

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: 2021-05-05-31
TL Number from the TL Form:
Sample Submitted By Organization: HollyFrontier Asphalt Company LLC
Sample Organization Contact: (623) 939-3311
Type of Sample: Quality Control
Type of Material: Asphalt Binder
Sample Taken Date: 05/05/2021
Date that the sample was received by the laboratory/organization performing the testing: 05/05/2021
The quantity of what the sample constitutes: 2 quart cans, split sample
A brief description of the sample: Asphalt Binder
From where was the sample collected: Supplier
Laboratory sample identification: 21-092
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Holly Frontier

Material Information

Performance Grade: PG 58-34 M
Modified: Yes
Lot number:
Sublot number:
Tank number: 507
Time of sample: 9:30 AM/5-5-2021
HMA Supplier:
Asphalt Binder Supplier: Holly Frontier Asphalt Company - Glendale AZ
Multigrade: No
Multigrade Type:

Test Information

DIME Test ID: 2021-05-05-31-1
Test Method: AASHTO T228-09r13: Standard Method of Test for Specific Gravity of Semi-Solid Asphalt Materials (Specific Gravity)
Verified Date: 06/01/2021
Date Tested: 05/05/2021
Submitted By Organization: HollyFrontier Asphalt Company LLC
Organization Address: 7110 W 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 :

Submitted Test Results

% Elongation Recovery 91 %