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Testing Report for 2021-08-23-35-4

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: 2021-08-23-35
TL Number from the TL Form:
Sample Submitted By Organization: Valero-NuStar PAT - Pittsburg
Sample Organization Contact: (707) 745-7089
Type of Sample: Quality Control
Type of Material: Asphalt Binder
Sample Taken Date: 8/23/2021
Date that the sample was received by the laboratory/organization performing the testing: 8/30/2021
The quantity of what the sample constitutes: 1 of 2
A brief description of the sample: Tank 5001
From where was the sample collected: Manufacturer
Laboratory sample identification: 7622M-082321
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Pittsburg, CA

Material Information

Performance Grade: PG 76-22 M
Modified: Yes
Lot number:
Sublot number:
Tank number: 5001
Time of sample:
HMA Supplier:
Asphalt Binder Supplier: Valero-NuStar PAT - Pittsburg CA
Multigrade: No
Multigrade Type:

Test Information

DIME Test ID: 2021-08-23-35-4
Test Method: AASHTO T44-18: Standard Method of Test for Solubility of Bituminous Materials
Date Tested: 8/30/2021
Verified Date: 9/15/2021
Submitted By Organization: Valero-NuStar PAT - Pittsburg
Organization Address: 1100 Willow Pass Rd,
Organization City: Pittsburg
Organization State: CA
Organization Zipcode: 94565
Organization Email:
Organization Phone: (707) 745-7089
General Comments for this Test: Submitted from ASCP bulk upload.
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Was test performed on residue from distillation or evaporation?: NA
Soluble, percent: 99.9 %
Insoluble, percent: 0.1 %