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Sample Record for 2025-06-23-35

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Project Information

Project ID: 1000883 DEA: 010N8104 EFIS: 0124000114 QA Service Level: 1
DIST-CO-RTE-PM: 01-MEN-128-40.9/44.3
Work Description: REPLACE AC SURFACING, SLURRY SEAL, AND PAVEMENT DELINEATION.
Location Description: MENDOCINO COUNTY NEAR YORKVILLE FROM 2.1 MILES EAST OF BEEBE CREEK BRIDGE TO 0.8 MILE EAST OF DRY CREEK BRIDGE
Contractor Name: DOOLITTLE CONSTRUCTION, LLC DBA DOOLITTLE ROAD CONSTRUCTION
Contractor Address: 1819, Snoqualmie, WA 98065
Resident Engineer: Steve Tisell Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2025-06-23-35
TL Number from the TL Form: 778808
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: 06/23/2025
Date that the sample was received by the laboratory/organization performing the testing: 06/30/2025
The quantity of what the sample constitutes: 2 bottles
A brief description of the sample: PMCQS-1H
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: VSS Emultech

Material Information

Emulsion Grade: PMCQS-1h
Lot Number:
Sub Lot:
Dilution Percentage Rate: 100% pure

Test Results

Test 1 of 2

DIME Test ID: 2025-06-23-35-1
Test Method: AASHTO T59-22: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 06/30/2025
Date Tested: 06/30/2025
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
General Comments for this Test: Evap
Test Result Compliance: complies
Additional Comments When Verified:
How many beakers will be used to conduct the test? 4
Beaker 1 Residue 63.8 %
Beaker 2 Residue 63.8 %
Beaker 3 Residue 63.8 %
Beaker 4 Residue 63.8 %
Percentage of residue 64 %

Test 2 of 2

DIME Test ID: 2025-06-23-35-2
Test Method: AASHTO T49-22: Standard Method of Test for Penetration of Bituminous Materials
Verified Date: 07/01/2025
Date Tested: 07/01/2025
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
General Comments for this Test: Pen
Test Result Compliance: complies
Additional Comments When Verified:
Was test performed on residue from distillation or evaporation? Distillation
Temperature (C) 25 C
Total Load (grams) 100 grams
Time (sec) 5 second
Average Penetration 51 dmm