Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 995118 DEA: 031H6304 EFIS: 0316000193
QA Service Level: 1
DIST-CO-RTE-PM: 03-SAC-99-12.7/16.3
Work Description: CONSTRUCT TWO AUX LANES, CONC BARRIER, & MODIFY ELECT SYSTEMS.
Location Description: SACRAMENTO COUNTY IN AND NEAR ELK GROVE FROM 0.1 MILE SOUTH OF ELK GROVE BOULEVARD OVERCROSSING TO CALVINE ROAD OVERCROSSING
Contractor Name: O.C. JONES & SONS, INC.
Contractor Address: 1520 Fourth Street, Berkeley, CA 94710
Resident Engineer: Ephrem Teweldeberhan Structure Rep.: Unknown
DIME Sample ID: 2025-05-28-32
TL Number from the TL Form: 849423
Sample Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Quality Assurance
Type of Material: Asphaltic Emulsion
Sample Taken Date: 05/28/2025
Date that the sample was received by the laboratory/organization performing the testing: 05/30/2025
The quantity of what the sample constitutes: 1 jug
A brief description of the sample: Tack oil SS1H
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: OC Jones
DIME Test ID: 2025-05-28-32-1
Test Method: AASHTO T59-22: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (530) 713-6823
Data has not been verified.
