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Sample Record for 2025-09-04-61

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

Project Information

Project ID: 1001631 DEA: 061F9304 EFIS: 0623000121 QA Service Level: 1
DIST-CO-RTE-PM: 06---
Work Description: COALINGA MAINTENANCE STATION PAVEMENT REPLACEMENT
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2025-09-04-61
TL Number from the TL Form: 000000
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: 09/04/2025
Date that the sample was received by the laboratory/organization performing the testing: 09/19/2025
The quantity of what the sample constitutes: one jug
A brief description of the sample: emulsion
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: ARE

Material Information

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

Test Results

Test 1 of 1

DIME Test ID: 2025-09-04-61-1
Test Method: AASHTO T59-22: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 09/25/2025
Date Tested: 09/25/2025
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: not applicable
Additional Comments When Verified:
How many beakers will be used to conduct the test? 2
Beaker 1 Residue 53.6 %
Beaker 2 Residue 53.6 %
Percentage of residue 54 %