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Sample Record for 2021-10-11-33

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: 2021-10-11-33
TL Number from the TL Form:
Sample Submitted By Organization: Albina Asphalt
Sample Organization Contact: (503) 539-3830
Type of Sample: Verification
Type of Material: Asphalt Binder
Sample Taken Date: 10/11/2021
Date that the sample was received by the laboratory/organization performing the testing: 10/11/2021
The quantity of what the sample constitutes: 1 of 1
A brief description of the sample: Tank 40
From where was the sample collected: Manufacturer
Laboratory sample identification: PG6416101121KF40
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Klamath Falls, OR

Material Information

Performance Grade: PG 64-16
Modified:
Lot number:
Sublot number:
Tank number:
Time of sample:
HMA Supplier:
Certified Asphalt Supplier: Albina Asphalt
Multigrade:
Multigrade Type:
Asphalt Binder Mix Number:

Test Results

Test 1 of 2

DIME Test ID: 2021-10-11-33-1
Test Method: AASHTO T316-17: Standard Method of Test for Viscosity Determination of Asphalt Binder Using Rotational Viscometer
Verified Date: 12/01/2021
Date Tested: 11/02/2021
Submitted By Organization: Albina Asphalt
Organization Address: 801 Main Street,
Organization City: Vancouver
Organization State: WA
Organization Zipcode: 98686
Organization Email: keven.heitschmidt@albina.com
Organization Phone: (503) 539-3830
General Comments for this Test: Submitted from ASCP bulk upload.
Test Result Compliance:
Additional Comments When Verified:
Is viscosity reading in cP/Pa-s? Pa-s
Time of test no data HH:MM
Test Temperature 0 C
Speed 0 rpm
Spindle size no data in
Torque 0 %
Viscosity reading #1 (A) no data
Viscosity reading #2 (B) no data
Viscosity reading #3 (C) no data
Average viscosity 0.458 Pa-s

Test 2 of 2

DIME Test ID: 2021-10-11-33-2
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)
Verified Date: 11/02/2021
Date Tested: 11/02/2021
Submitted By Organization: Albina Asphalt
Organization Address: 801 Main Street,
Organization City: Vancouver
Organization State: WA
Organization Zipcode: 98686
Organization Email: keven.heitschmidt@albina.com
Organization Phone: (503) 539-3830
General Comments for this Test: Submitted from ASCP bulk upload.
Test Result Compliance:
Additional Comments When Verified:
Phase Original binder
Test Plate Diameter no data
Phase Angle (δ) (for the 10 cycles) no data
Dynamic Shear, G*/sin(δ) 1.45 kPa