Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000994 DEA: 070Y1804 EFIS: 0724000139
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-60-0.0/R3.3
Work Description: REPLACE ASPHALT CONCRETE SURFACING AND SLURRY SEAL.
Location Description: LOS ANGELES COUNTY AT VARIOUS LOCATIONS FROM JUNCTION ROUTE 10 TO ROUTE 60/710 SEPARATION
Contractor Name: PAVEMENT COATINGS CO.
Contractor Address: Unknown
Resident Engineer: Jeanette Vong Structure Rep.: Unknown
DIME Sample ID: 2025-09-18-57
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: 09/18/2025
Date that the sample was received by the laboratory/organization performing the testing: 09/19/2025
The quantity of what the sample constitutes: 2qt, one container
A brief description of the sample: EMULSION
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Substanable Emuision
DIME Test ID: 2025-09-18-57-1
Test Method: AASHTO T51-22: Standard Method of Test for Ductility of Asphalt Materials (Asphaltic Emulsion)
Verified Date: 09/29/2025
Date Tested: 09/24/2025
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:
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Is a normal test obtainable?
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Yes
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Number of replicates tested
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One
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Was test performed on residue from distillation or evaporation?
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Evaporation
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Ductility of test #1 (D1)
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750 mm
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Ductility of sample
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750 mm
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DIME Test ID: 2025-09-18-57-2
Test Method: AASHTO T49-22: Standard Method of Test for Penetration of Bituminous Materials
Verified Date: 09/29/2025
Date Tested: 09/23/2025
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:
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Average Penetration
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45 dmm
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DIME Test ID: 2025-09-18-57-3
Test Method: AASHTO T59-22: Standard Method of Test for Emulsified Asphalts (Storage Stability of Emulsified (Sec. 18))
Verified Date: 09/29/2025
Date Tested: 09/23/2025
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:
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Percent residue from the bottom portion of the sample
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65.4 %
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Percent residue from the top portion of the sample
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64.88 %
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Storage stability
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0.6 %
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DIME Test ID: 2025-09-18-57-4
Test Method: AASHTO T59-22: Standard Method of Test for Emulsified Asphalts (Viscosity (Saybolt Furol) (Sec. 9))
Verified Date: 09/29/2025
Date Tested: 09/22/2025
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:
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Efflux time (ET) for test sample
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33.2 sec
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Corrected efflux time as the Saybolt Furol viscosity (Corrected V)
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1 sec
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Test efflux temperature
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77 F
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DIME Test ID: 2025-09-18-57-5
Test Method: AASHTO T59-22: Standard Method of Test for Emulsified Asphalts (Sieve Test (Sec. 13))
Verified Date: 09/29/2025
Date Tested: 09/22/2025
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:
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Sample retained
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no data0 %
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DIME Test ID: 2025-09-18-57-6
Test Method: AASHTO T59-22: Standard Method of Test for Emulsified Asphalts (Particle Charge Cationic Emulsified (Sec. 8))
Verified Date: 09/29/2025
Date Tested: 09/22/2025
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:
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Level of current used
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8.0 mA
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Electrode Type
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Positive
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DIME Test ID: 2025-09-18-57-7
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 09/29/2025
Date Tested: 09/22/2025
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:
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How many beakers will be used to conduct the test?
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4
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Beaker 1 Residue
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65.2 %
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Beaker 2 Residue
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65.2 %
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Beaker 3 Residue
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65.2 %
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Beaker 4 Residue
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65.2 %
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Percentage of residue
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65.2 %
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