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Sample Record for 2025-08-26-35

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 1001475 DEA: 061G4704 EFIS: 0623000232 QA Service Level: 1
DIST-CO-RTE-PM: 06-KER-119-19.8/20.2
Work Description: Remove and replace 0.25' thick of existing AC pavement and replace with 0.25' thick of HMA (Type A). Pavement delineation and traffic control will also be part of this contract.
Location Description: Kern county on both EB and WB land and left turn pocket along SR 119 from PM 19.8 and PM 20.2.
Contractor Name: Nagle Earthworks (Beverly Westervelt)
Contractor Address: 831 Espee Street, Bakersfield, CA 93301
Resident Engineer: Amarjit Dhaliwal Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2025-08-26-35
TL Number from the TL Form:
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: 08/26/2025
Date that the sample was received by the laboratory/organization performing the testing: 09/03/2025
The quantity of what the sample constitutes: 1 Jug
A brief description of the sample: tack coat 100% SS-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: SS-1h
Lot Number:
Sub Lot:
Dilution Percentage Rate: 100% pure
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2025-08-26-35-1
Test Method: AASHTO T59-22: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 09/05/2025
Date Tested: 09/05/2025
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: Evaporation
Test Result Compliance: complies
Additional Comments When Verified:
How many beakers will be used to conduct the test? 2
Beaker 1 Residue 55.2 %
Beaker 2 Residue 55.2 %
Percentage of residue 55 %