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Sample Record for 2025-07-13-20

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Project Information

Project ID: 1001060 DEA: 112N2344 EFIS: 1124000192 QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-15-0.4/T2.8
Work Description: COLD PLANE AC, RHMA-G OVERLAY, PAVEMENT MARKING AND SHOULDER BACKING.
Location Description: SAN DIEGO COUNTY IN SAN DIEGO FROM MAIN STREET UNDERCROSSING TO 0.6 MILE NORTH OF ROUTE 15/94 SEPARATION
Contractor Name: HAZARD CONSTRUCTION ENGR, LLC
Contractor Address: Unknown
Resident Engineer: Alex Balce Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2025-07-13-20
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Verification
Type of Material: Asphaltic Emulsion
Sample Taken Date: 07/13/2025
Date that the sample was received by the laboratory/organization performing the testing: 07/25/2025
The quantity of what the sample constitutes: 2qt, one container
A brief description of the sample: MSE Tack Coat ASPHALTIC EMULSION
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: DISTRIBTOR TRUCK

Material Information

Emulsion Grade: CQS-1h
Lot Number:
Sub Lot:
Dilution Percentage Rate: N/A
Test results on following page(s): 6

Test Results

Test 1 of 6

DIME Test ID: 2025-07-13-20-2
Test Method: AASHTO T49-22: Standard Method of Test for Penetration of Bituminous Materials
Verified Date: 09/03/2025
Date Tested: 08/13/2025
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: (909) 829-3029
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Average Penetration 61 dmm

Test 2 of 6

DIME Test ID: 2025-07-13-20-3
Test Method: AASHTO T59-22: Standard Method of Test for Emulsified Asphalts (Particle Charge Cationic Emulsified (Sec. 8))
Verified Date: 09/03/2025
Date Tested: 08/12/2025
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: (909) 829-3029
General Comments for this Test:
Test Result Compliance: does not comply
Additional Comments When Verified:
Level of current used 8.0 mA
Electrode Type Negative

Test 3 of 6

DIME Test ID: 2025-07-13-20-4
Test Method: AASHTO T59-22: Standard Method of Test for Emulsified Asphalts (Viscosity (Saybolt Furol) (Sec. 9))
Verified Date: 09/03/2025
Date Tested: 08/12/2025
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: (909) 829-3029
General Comments for this Test:
Test Result Compliance: does not comply
Additional Comments When Verified:
Efflux time (ET) for test sample 6 sec
Corrected efflux time as the Saybolt Furol viscosity (Corrected V) 1 sec
Test efflux temperature 77 F

Test 4 of 6

DIME Test ID: 2025-07-13-20-5
Test Method: AASHTO T59-22: Standard Method of Test for Emulsified Asphalts (Storage Stability of Emulsified (Sec. 18))
Verified Date: 09/03/2025
Date Tested: 08/12/2025
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: (909) 829-3029
General Comments for this Test:
Test Result Compliance: does not comply
Additional Comments When Verified:
Percent residue from the bottom portion of the sample 35.4 %
Percent residue from the top portion of the sample 43.8 %
Storage stability 8.4 %

Test 5 of 6

DIME Test ID: 2025-07-13-20-6
Test Method: AASHTO T59-18: Standard Method of Test for Emulsified Asphalts (Sieve Test (Sec. 13))
Verified Date: 09/03/2025
Date Tested: 08/12/2025
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: (909) 829-3029
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Sample retained no data0 %

Test 6 of 6

DIME Test ID: 2025-07-13-20-7
Test Method: AASHTO T59-22: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 09/03/2025
Date Tested: 08/12/2025
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: (909) 829-3029
General Comments for this Test:
Test Result Compliance: does not comply
Additional Comments When Verified:
How many beakers will be used to conduct the test? 4
Beaker 1 Residue 35.4 %
Beaker 2 Residue 35.6 %
Beaker 3 Residue 35.2 %
Beaker 4 Residue 35.4 %
Percentage of residue 35.4 %