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Sample Record for 2025-10-31-34

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

Project Information

Project ID: 993331 DEA: 023H6904 EFIS: 0218000010 QA Service Level: 1
DIST-CO-RTE-PM: 02-PLU-89-30/R42.1
Work Description: ALMANOR WEST REHAB - ROADWAY REHABILITATION
Location Description: IN PLUMAS COUNTY NEAR CANYON DAM FROM LAKE ALMANOR SPILLWAY TO ROUTE 36.
Contractor Name: DIG IT CONSTRUCTION, INC.
Contractor Address: Unknown
Resident Engineer: Sergio Mendoza Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2025-10-31-34
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: 10/31/2025
Date that the sample was received by the laboratory/organization performing the testing: 11/12/2025
The quantity of what the sample constitutes: 1 can
A brief description of the sample: CQSS1
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Dig it Construction

Material Information

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

Test Results

Test 1 of 1

DIME Test ID: 2025-10-31-34-2
Test Method: AASHTO T59-22: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 11/14/2025
Date Tested: 11/14/2025
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: does not comply
Additional Comments When Verified:
How many beakers will be used to conduct the test? 4
Beaker 1 Residue 24.8 %
Beaker 2 Residue 24.6 %
Beaker 3 Residue 24.8 %
Beaker 4 Residue 25.6 %
Percentage of residue 25 %