XINJIANG BEIXIN ROAD & BRIDGE GROUP CO.

LTD
XBRB - LAB –B

LAB NO: LAB REPORT NO:

PROJECT: DATE SAMPLED:

CLIENT: DATE RECEIVED:

CONTRACTOR: DATE TESTED:

RFI No DESCRIPTION Binder Course

Grade of AC Pen- 60-70 Bulk SG of Agg. 2.764 Compacting Temperature 145

Sp. Gr. Of AC 1.029 Mixing Temperature, OC 160 Compaction, blows 75

Mass in water, Stability Correction Corrected

SP NO HGT. mm % AC by TM Mass in Air, g. SSD Mass, g. Bulk Sp. Gr. Max. Sp. Gr. Unit Wt., g/cc. % Air Voids % VMA % VFA Flow, mm.
g. KN N Factor KN

1 67.0 3.0 1,244.2 709.6 1,247.2 2.314 2.615 2.372 11.65 18.91 38.42 3.9 3900.00 0.920 7.96 3.1

2 68.0 3.0 1,253.5 711.0 1,255.5 2.302 24Hour 2.433 11.65 18.91 38.42 4.8 4800.00 0.895 9.92 2.6

3 70.0 3.0 1,242.4 711.4 1,248.1 2.315 Loss of Stability% 5 4.0 4000.00 0.854 7.89 2.7

Average (30-40 MIN) 2.310 Retained Stability% 95 8.20 8.59 2.80

 XINJIANG BEIXIN ROAD & BRIDGE GROUP CO. LTD
XBRB - LAB –B

LAB NO: LAB REPORT NO:

PROJECT: DATE SAMPLED:

CLIENT: DATE RECEIVED:

CONTRACTOR: DATE TESTED:

RFI No DESCRIPTION Binder Course

CHARTS:

% Air Voids
Unit Weight of Asphalt Mix 8.50
Unit Weight, g/c.

20
2.5
10
2.5 7.50
00

% Air Voids
2.5
90
2.4
6.50
80
2.4
70
2.4
60 5.50
2.4
50
2.4
40 4.50
2.4
30
2.4
20 3.50
2.4
10
2.4
00
2.4 2.50
90
2.3
80
2.3 2.50 2.70 2.90 3.10 3.30 3.50 3.70 3.90 4.10 4.30 4.50 4.70 4.90 5.10 1.50
% Asphalt Content 2.5 2.7 2.9 3.1 3.3
%3.5Asphalt
3.7 3.9
Content 4.1 4.3 4.5 4.7 4.9 5.1

% Voids Filled With Asphalt

% Voids in Mineral Aggregate 85.00

15.5 80.00

75.00
% VMA

% VFA

70.00
14.5

65.00

60.00

13.5
55.00

50.00

12.5 45.00
2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 2.8 3.0 3.2 3.4 3.6 3.8 4.0 4.2 4.4 4.6 4.8 5.0
% Asphalt Content % Asphalt Content

Stability of Mix
Flow Asphalt Mix
17.00 4.90
Flow,0.25 mm.
Stability, KN

15.00 4.40

13.00
3.90

11.00
3.40

9.00
2.90

7.00
2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 2.40
% Asphalt Content
2.5 2.7 2.9 3.1 3.3 %3.5
Asphalt3.7
Content
3.9 4.1 4.3 4.5 4.7 4.9 5.1

MARSHALL MIX PROPERTIES AT OPTIMUM ASPHALT CONTENT:

Optimum AC 3.50 Air Voids 4.0 VMA,% 14.21 VFA,% 66.4 Stability, KN 11.8 Flow 4.3
REMARKS:

Tested by Checked by Approved by

XBRB-LAB XBRB Lab Sheladia INC-USA
D-Lab Manager QC/ Engineer QA/QC Engingeer
 XINJIANG BEIXIN ROAD & BRIDGE GROUP CO. LTD
XBRB - LAB –B

LAB NO: December 30, 1899 LAB REPORT NO: December 30, 1899

PROJECT: December 30, 1899 DATE SAMPLED: December 30, 1899

CLIENT: December 30, 1899 DATE RECEIVED: December 30, 1899

CONTRACTOR: December 30, 1899 DATE TESTED: January 6, 1900

RFI NO DESCRIPTION Binder Course

Grade of AC Pen- 60-70 Bulk SG of Agg. 2.764 Compacting Temperature 145

Sp. Gr. Of AC 0.000 Mixing Temperature, OC 160 Compaction, blows 75

Mass in SSD Mass, Unit Wt., Stability Correction Corrected

SP NO HGT. mm % AC by TM Mass in Air, g. Bulk Sp. Gr. Max. Sp. Gr. % Air Voids % VMA % VFA Flow, mm.
water, g. g. g/cc. KN N Factor KN

1 63.0 3.0 1,241.4 740.2 1,249.5 2.437 4.0 4000.00 1.010 8.96 2.9

2 63.0 3.0 1,239.0 740.2 1,250.1 2.430 3.0 3000.00 1.01 7.00 3.3

3 63.0 3.0 1,245.4 744.6 1,256.8 2.431 3.7 3700.00 1.01 8.63 3.6

Average 24 Hour 2.433 2.575 2.433 5.52 14.61 62.24 8.20 3.27

Mass in SSD Mass, Unit Wt., Stability Correction Corrected

SP NO HGT. mm % AC by TM Mass in Air, g. Bulk Sp. Gr. Max. Sp. Gr. % Air Voids % VMA % VFA Flow, mm.
water, g. g. g/cc KN N Factor KN

4 64.0 3.5 1,242.2 747.1 1,244.9 2.495 5.1 5100.00 0.985 11.14 3.80

5 64.0 3.5 1,243.0 745.4 1,250.0 2.463 4.5 4500.00 0.98 10.24 5.00

6 64.0 3.5 1,241.8 744.8 1,244.9 2.483 4.8 4800.00 0.98 10.92 4.80

Average 24 Hour 2.481 2.555 2.481 2.91 13.39 78.25 10.77 4.53

Mass in SSD Mass, Unit Wt., Stability Correction Corrected

SP NO HGT. mm % AC by TM Mass in Air, g. Bulk Sp. Gr. Max. Sp. Gr. % Air Voids % VMA % VFA Flow, mm.
water, g. g. g/cc KN N Factor KN

7 65.0 4.0 1,235.0 739.7 1,237.4 2.481 4.9 4850.00 0.960 10.33 3.70

8 65.0 4.0 1,238.6 748.6 1,241.7 2.512 4.2 4150.00 0.96 9.20 4.10

9 65.0 4.0 1,241.1 749.9 1,246.9 2.497 4.3 4300.00 0.96 9.54 3.80

Average 24 Hour 2.497 2.538 2.497 1.62 13.27 87.78 9.69 3.87

Mass in SSD Mass, Unit Wt., Stability Correction Corrected

SP NO HGT. mm % AC by TM Mass in Air, g. Bulk Sp. Gr. Max. Sp. Gr. % Air Voids % VMA % VFA Flow, mm.
water, g. g. g/cc KN N Factor KN

10 62.2 4.5 1238.1 747.2 1,240.1 2.512 3.4 3400.00 1.030 7.77 4.70

11 61.7 4.5 1234.2 744.1 1,234.9 2.515 3.9 3850.00 1.04 9.28 3.50

12 61.9 4.5 1231.1 739.9 1,231.8 2.503 3.3 3300.00 1.04 7.91 3.90

Average 24 Hour 2.510 2.525 2.510 0.60 13.28 95.45 8.32 4.03

Mass in SSD Mass, Unit Wt., Stability Correction Corrected

SP NO HGT. mm % AC by TM Mass in Air, g. Bulk Sp. Gr. Max. Sp. Gr. % Air Voids % VMA % VFA Flow, mm.
water, g. g. g/cc KN N Factor KN

13 61.5 5.0 1230.9 736.5 1,232.2 2.483 3.0 3000.00 1.049 6.98 4.20

14 61.8 5.0 1239.7 746.3 1,240.3 2.510 3.1 3050.00 1.04 7.33 4.21

15 60.9 5.0 1232.3 739.4 1,232.8 2.498 3.4 3400.00 1.07 8.39 4.19

Average 24 Hour 2.497 2.520 2.497 0.92 14.18 93.49 7.57 4.20

Mass in SSD Mass, Unit Wt., Stability Correction Corrected

SP NO HGT. mm % AC by TM Mass in Air, g. Bulk Sp. Gr. Max. Sp. Gr. % Air Voids % VMA % VFA Flow, mm.
water, g. g. g/cc KN N Factor KN

16 61.9 5.5 1198.9 707.5 1199.8 2.435 5.2 5200.00 1.038 11.96 4.60

17 62.1 5.5 1196.7 706.5 1197.3 2.438 5.4 5400.00 1.03 12.88 4.55

18 62.0 5.5 1199.6 709.7 1202.2 2.436 5.4 5400.00 1.04 12.91 4.58

Average 24 Hour 2.436 2.522 2.436 3.39 16.69 79.68 12.58 4.58

Mass in SSD Mass, Unit Wt., Stability, KN.

SP NO HGT. mm % AC by TM Mass in Air, g. Bulk Sp. Gr. Max. Sp. Gr. % Air Voids % VMA % VFA Flow, mm.
water, g. g. g/cc Rdg. Meas. Adj.
19 60.7 6.0 1198.8 707.5 1199.9 2.435 555 23.94 0.00 16.70

20 60.5 6.0 1192.3 706.7 1195.6 2.439 560 24.15 0.00 16.70

21 69.8 6.0 1201.6 709.5 1204.1 2.429 565 24.37 0.00 16.40

Average 2.434 2.495 2.434 2.43 17.21 85.85 0.00 16.60

REMARKS:

Tested by Checked by Approved by

XBRB-LAB XBRB Lab Sheladia INC-USA
D-Lab Manager QC/ Engineer QA/QC Engingeer
 XINJIANG BEIXIN ROAD & BRIDGE GROUP CO. LTD
XBRB - LAB –B

LAB NO: 0 LAB REPORT NO: 30-Dec-1899

PROJECT: 0 DATE SAMPLED: 30-Dec-1899

CLIENT: 0 DATE RECEIVED: 30-Dec-1899

CONTRACTOR: 0 DATE TESTED: 4-Jan-1900

RFI NO DESCRIPTION: Binder Course

Proposed Use JMF for Hot Mix Asphalt (Binder Corse )

B. SPECIFIC GRAVITY OF FINE AGGREGATE (AASHTO T 84-85 / ASTM C 127)

Groups by Size of Aggregate Stone Duste 9.5mm

TRIAL NO. 1 2 2 Average 1 2 2 Average

Wt. of Sample SSD in Air, g A 120.0 120.0 500.0 1,723.9 1,723.9 500.0
Wt. of pycnometer and water, g. B 672.7 672.7 672.7 1,737.4 1,737.4 1,737.4
Wt. of pycnometer, sample, & water, g. C 750.4 750.4 996.5 1,096.3 1,096.3 996.5
Wt. of dry sample in air, g. D 119.1 119.1 497.5 497.5
Bulk Specific Gravity (Dry) D/(A-(C-B)) 2.813 2.813 2.823 2.813 2.689 2.689 0.401 2.689
Bulk Specific Gravity (SSD) A/(A-(C-B)) 2.834 2.834 2.838 2.834 2.710 2.710 0.403 2.710
Apparent Specific Gravity D/(D-(C-B)) 2.872 2.872 2.864 2.872 2.747 2.747 0.402 2.747
Absorption 100x(500-D)/D 0.730 0.730 0.503 0.730 0.783 0.783 0.503 0.783

C. SPECIFIC GRAVITY OF COARSE AGGREGATE (AASHTO T 84-85 / ASTM C 127)

Groups by Size of Aggregate 19mm 37.5mm
TRIAL NO. 1 2 3 Average 1 2 3 Average
Wt. of Sample Oven Dry in Air, g A 2,021 2,021 2,323 1,324 1,324 4,129
Wt. of Sample SSD in Air, g B 2,031 2,031 2,346 1,331 1,331 4,158
Wt. of Sample in Water, g C 1,288 1,288 1,479 847 847 2,635
Bulk Specific Gravity (Dry) A/(B-C) 2.721 2.721 2.679 2.721 2.736 2.736 2.711 2.736
Bulk Specific Gravity (SSD) B/(B-C) 2.734 2.734 2.706 2.734 2.750 2.750 2.730 2.750
Apparent Specific Gravity A/(A-C) 2.757 2.757 2.752 2.757 2.776 2.776 2.764 2.776
Absorption 100x(B-A)/A 0.481 0.481 0.990 0.481 0.529 0.529 0.702 0.529

D. COMBINED SPECIFIC GRAVITY

Groups by Size of Aggregate Combined % Individual Bulk Sp. Gr. Combined Bulk Sp. Gr.
Passing,
Passing Retained retained Dry SSD Apparent Absorption Dry SSD Apparent Absorption

25mm 19mm 20.0 2.736 2.750 2.776 0.529

19mm 9.5mm 15.0 2.721 2.734 2.757 0.481
2.745 2.764 2.797 0.932
9.5mm 4.74mm 30.0 2.689 2.710 2.747 0.783
Stone Dust Stone Dust 35.0 2.813 2.834 2.872 0.730
Total 100.0

REMARKS:

Tested by Checked by Approved by

XBRB-LAB XBRB Lab Sheladia INC-USA
D-Lab Manager QC/ Engineer QA/QC Engingeer
 XINJIANG BEIXIN ROAD & BRIDGE GROUP CO. LTD
XBRB - LAB –B

LAB NO: December 30, 1899 LAB REPORT NO: December 30, 1899

PROJECT: December 30, 1899 DATE SAMPLED: December 30, 1899

CLIENT: December 30, 1899 DATE RECEIVED: December 30, 1899

CONTRACTOR: December 30, 1899 DATE TESTED: January 6, 1900

RFI NO DESCRIPTION: Binder Course

Proposed Use JMF for Hot Mix Asphalt (Binder Corse )

IV. DETERMINATION OF MAXIMUM SPECIFIC GRAVITY ASTM D 2041 (AASHTO T-209)

Asphalt Content by weight of total mix, % Formula 3.0 3.5
Mass of pycnometer, g. A 2807.0 2807.0
Mass of Pycnometer + water up to the mark, g. B 9657.0 9657.0
Mass of sample, g. C 1247.7 1195.0
Mass of sample + pycnometer + water up to the mark, g. D 10374.0 10385.0
Temperature of water, OC E 25.0 25.0
Vacuum pressure, mm. Hg. F 30.0 30.0
Volume of displaced water, g. G= C - (D - B) 530.7 467.0
Maximum Specific Gravity H= C / G 2.615 2.595

Asphalt Content by weight of total mix, % Formula 4.0 4.5

Mass of pycnometer, g. A 2807.0 2807.0
Mass of Pycnometer + water up to the mark, g. B 9657.0 9657.0
Mass of sample, g. C 1202.0 1179.8
Mass of sample + pycnometer + water up to the mark, g. D 10384.0 10368.0
Temperature of water, OC E 25.0 25.0
Vacuum pressure, mm. Hg. F 30.0 30.0
Volume of displaced water, g. G= C - (D - B) 475.0 468.8
Maximum Specific Gravity C/G 2.583 2.566

Asphalt Content by weight of total mix, % Formula 5.0 5.5

Mass of pycnometer, g. A 2807.0 2807.0
Mass of Pycnometer + water up to the mark, g. B 9657.0 9657.0
Mass of sample, g. C 1200.0 1185.5
Mass of sample + pycnometer + water up to the mark, g. D 10379.0 10369
Temperature of water, OC E 25.0 25
Vacuum pressure, mm. Hg. F 30.0 30
Volume of displaced water, g. G= C - (D - B) 478.0 473.5
Maximum Specific Gravity C/G 2.536 2.504
CHART: REMARKS:

2.7 Maximum Specific Gravity Chart

Max. Sp. gr.

2.68
2.66
2.64
2.62
2.6
2.58
2.56
2.54
2.52
2.5
2.48
2.46
2.44
2.42
2.4
2.5 2.9 3.3 3.7% Asphalt
4.1 4.5Content
4.9 5.3 5.7 6.1 6.5

Tested by Approved by
Checked by
XBRB-LAB Sheladia INC-USA
XBRB Lab
D-Lab Manager QA/QC Engingeer
QC/ Engineer
 Tested by Approved by
Checked by
XBRB-LAB Sheladia INC-USA
XBRB Lab
D-Lab Manager QA/QC Engingeer
QC/ Engineer
 ###
###

###
###

SUMMARY
% AC Gmm
3.0 ###
3.5 ###
4.0 ###
4.5 ###
5.0 ###
6.0 ###
 XINJIANG BEIXIN ROAD & BRIDGE GROUP CO. LTD
XBRB - LAB –B

LAB NO: December 30, 1899 LAB REPORT: December 30, 1899

PROJECT: December 30, 1899 DATE SAMPLED: December 30, 1899

CLIENT: December 30, 1899 DATE RECEIVED: December 30, 1899

CONTRACTOR: December 30, 1899 DATE TESTED: December 22, 1899

RFI NO DESCRIPTION Binder Course

TYPE OF BITUMEN: Pen 60 / 70 Sp. Gr. Of AC 1.029

A. Penetration Test ASTM D 5 (AASHTO T49)
Sample No. 1 2
Temperature, OC 25C0 25C0
Pentration 1 62.5 62.5
Pentration 2 61.7 61.7
Pentration 3 59.7 59.7
Sample Penetration 61.3 61.3
Material Average Penetration 61.3
B. Flash Point and Fire Point Test (ASTM D 92(AASHTO T48)
Sample No. 1 2
Flash Point 318.5 363.0
Fire Point 323.0 363.0
Average Ductility 320.8 363.0

C. Softening Point Test ASTM D 2398 (AASHTO T53)

Water
Water Bath Time, Bath
Time, min. Sample No. 1
Temp., OC min. Temp.,
O
C
0 Ball No. 1 2
1 Softening Point,
O
C
53.4 54.2
2
3 Average, OC 53.8
4 Sample No. 2
5 Ball No. 1 2
6 Softening Point,
O
C
58.3 58.4
7
8 Average, OC 58.4
9

Material Softening Point, OC

D. Specific Gravity of Bitumen ASTM D 70 (AASHTO T-228)

Trial No. Formula 1 2 3 Average
Mass of pycnometer , g. A
Mass of pycnometer + sample, g. B
Mass of pycnometer + water, g. C
Mass of pyc. + sample + water, g. D
Specific Gravity of Bitumen G= (A-B)/(B-A)-(D-C)
Temperature of Water, OC T
Correction for temperature Tc
Density of Bitumen, g/cc. Dm

REMARKS:

Tested by Checked by Approved by

XBRB-LAB XBRB Lab Sheladia INC-USA
D-Lab Manager QC/ Engineer QA/QC Engingeer
LAB NO: December 30, 1899 LAB REPORT NO: December 30, 1899

PROJECT: December 30, 1899 DATE SAMPLED: December 30, 1899

CLIENT: December 30, 1899 DATE RECEIVED: December 30, 1899

CONTRACTOR: December 30, 1899 DATE TESTED: January 1, 1900

SUB CONTRACTOR: December 30, 1899 DESCRIPTION: Binder Course

Proposed Use JMF for Hot Mix Asphalt (Binder Corse )

IV. DETERMINATION OF MAXIMUM SPECIFIC GRAVITY ASTM D 2041 (AASHTO T-209)

Asphalt Content by weight of total mix, % Formula 3.0 3.5
Mass of pycnometer, g. A 3734.4 3734.4
Mass of Pycnometer + water up to the mark, g. B 8580.0 8580.0
Mass of sample, g. C 1193.2 1196.5
Mass of sample + pycnometer + water up to the mark, g. D 9309.9 9308.2
Temperature of water, OC E 25.0 25.0
Vacuum pressure, mm. Hg. F 30.0 30.0
Volume of displaced water, g. G= C - (D - B) 463.3 468.3
Maximum Specific Gravity H= C / G 2.575 2.555

Asphalt Content by weight of total mix, % Formula 4.0 4.5

Mass of pycnometer, g. A 3734.4 3734.4
Mass of Pycnometer + water up to the mark, g. B 8580.0 8580.0
Mass of sample, g. C 1198.8 1199.8
Mass of sample + pycnometer + water up to the mark, g. D 9306.4 9304.7
Temperature of water, OC E 25.0 25.0
Vacuum pressure, mm. Hg. F 30.0 30.0
Volume of displaced water, g. G= C - (D - B) 472.4 475.1
Maximum Specific Gravity C/G 2.538 2.525

Asphalt Content by weight of total mix, % Formula 5.0 5.5

Mass of pycnometer, g. A 3734.4 3734.4
Mass of Pycnometer + water up to the mark, g. B 8580.0 8580.0
Mass of sample, g. C 1197.6 1200.4
Mass of sample + pycnometer + water up to the mark, g. D 9302.4 9304.5
Temperature of water, OC E 25.0 25
Vacuum pressure, mm. Hg. F 30.0 30
Volume of displaced water, g. G= C - (D - B) 475.2 475.9
Maximum Specific Gravity C/G 2.520 2.522
CHART: REMARKS:

2.700 Maximum Specific Gravity Chart

Max. Sp. gr.

2.680
2.660
2.640
2.620
2.600
2.580
2.560
2.540
2.520
2.500
2.480
2.460
2.440
2.420
2.400
2.5 2.9 3.3 % Asphalt
3.7 4.1 4.5Content
4.9 5.3 5.7 6.1 6.5

Tested By: Approved By:

Sr. Lab Tech./DLM: DLM/Lab Manager:
 LAB NO: 16-429 LAB REPORT: 2512-BIT-429

PROJECT: December 30, 1899 DATE SAMPLED: December 25, 2016

CLIENT: December 30, 1899 DATE RECEIVED: December 25, 2016

CONTRACTOR: December 30, 1899 DATE TESTED: December 25, 2016

RFI NO

TYPE OF BITUMEN: Pen 60 / 70

A. Penetration Test ASTM D 5 (AASHTO T49)

Sample No. 1 2

Temperature, OC 25C0 25C0

Pentration 1 70 64

Pentration 2 59 70

Pentration 3 62

Sample Penetration 63.7 67.0

Material Average Penetration 65.3

Tested by Checked by Approved by

XBRB-LAB XBRB-LAB Sheladia INC-USA
 LAB NO: 16-450 LAB REPORT: 2712-BIT-450

PROJECT: December 30, 1899 DATE SAMPLED: December 27, 2016

CLIENT: December 30, 1899 DATE RECEIVED: December 27, 2016

CONTRACTOR: December 30, 1899 DATE TESTED: December 27, 2016

RFI NO

TYPE OF BITUMEN: Pen 60 / 70

A. Penetration Test ASTM D 5 (AASHTO T49)

Sample No. 1 2

Temperature, OC 25C0

Pentration 1 55

Pentration 2 53

Pentration 3 49

Sample Penetration 52.3

Material Average Penetration 52.3

Tested Checked by Approved by

XBRB-LAB XBRB-LAB Sheladia INC-SUA
 LAB NO: LAB REPORT: December 30, 1899

PROJECT: December 30, 1899 DATE SAMPLED: December 30, 1899

CLIENT: December 30, 1899 DATE RECEIVED: December 30, 1899

CONTRACTOR: December 30, 1899 DATE TESTED: January 6, 1900

RFI NO DESCRIPTION Binder Course

TYPE OF BITUMEN: Pen 60 / 70 Sp. Gr. Of AC 1.029

A. Penetration Test ASTM D 5 (AASHTO T49)
Sample No. 1 2
Temperature, OC
Pentration 1
Pentration 2
Pentration 3
Sample Penetration
Material Average Penetration
B. Ductility test ASTM D 113(AASHTO T51)
Sample No.
Temperature, OC
Ductility
Material Average Ductility
C. Softening Point Test ASTM D 2398 (AASHTO T53)
Water
Water Bath Time, Bath
Time, min. Sample No. 1
Temp., OC min. Temp.,
O
C
0 Ball No. 1 2
1 Softening Point,
2 O
C
3 Average, OC
4 Sample No. 2
5 Ball No.
6 Softening Point,
7 O
C
8 Average, OC
9

Material Softening Point, OC

D. Specific Gravity of Bitumen ASTM D 70 (AASHTO T-228)

Trial No. Formula 1 2 3 Average
Mass of pycnometer , g. A
Mass of pycnometer + sample, g. B
Mass of pycnometer + water, g. C
Mass of pyc. + sample + water, g. D
Specific Gravity of Bitumen G= (A-B)/(B-A)-(D-C)
Temperature of Water, OC T
Correction for temperature Tc
Density of Bitumen, g/cc. Dm

REMARKS:

Tested By: Approved By:

Sr. Lab Tech./DLM: DLM/Lab Manager: