Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994586 DEA: 081C08U4 EFIS: 0822000142
QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-10-R134.0/R156.5
Work Description: PLACE HMA (TYPE A), JPCP, IMPORTED BORROW, ROADWAY EXCAVATION & CL2 AB
Location Description: RIVERSIDE COUNTY FROM 1.1 MILES WEST OF WILEY WELL ROAD OVERCROSSING TO CALIFORNIA/ARIZONA STATE LINE
Contractor Name: FISHER SAND & GRAVEL CO.
Contractor Address: 19062 San Jose Avenue, LA Puente, CA 91748
Resident Engineer: Ryan Luis Espoy Structure Rep.: Kong Hoang
DIME Sample ID: 2025-11-04-120
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: 11/04/2025
Date that the sample was received by the laboratory/organization performing the testing: 04/07/2026
The quantity of what the sample constitutes: 1QT Oil
A brief description of the sample: Emulsion SS-1h
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: sample at the Papich HMA plant
DIME Test ID: 2025-11-04-120-1
Test Method: AASHTO T59-25: Standard Method of Test for Emulsified Asphalts (Sieve Test (Sec. 13))
Verified Date: 06/15/2026
Date Tested: 05/05/2026
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:
|
Sample retained
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no data0 %
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DIME Test ID: 2025-11-04-120-2
Test Method: AASHTO T59-22: Standard Method of Test for Emulsified Asphalts (Viscosity (Saybolt Furol) (Sec. 9))
Verified Date: 06/15/2026
Date Tested: 05/05/2026
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
|
12.9 sec
|
|
Corrected efflux time as the Saybolt Furol viscosity (Corrected V)
|
13 sec
|
|
Test efflux temperature
|
77 F
|
DIME Test ID: 2025-11-04-120-3
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 06/15/2026
Date Tested: 05/05/2026
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?
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4
|
|
Beaker 1 Residue
|
30.8 %
|
|
Beaker 2 Residue
|
30.8 %
|
|
Beaker 3 Residue
|
30.8 %
|
|
Beaker 4 Residue
|
31 %
|
|
Percentage of residue
|
31 %
|
DIME Test ID: 2025-11-04-120-4
Test Method: AASHTO T59-22: Standard Method of Test for Emulsified Asphalts (Particle Charge Cationic Emulsified (Sec. 8))
Verified Date: 06/15/2026
Date Tested: 05/05/2026
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
|
