Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1002418 DEA: 070Y5304 EFIS: 0725000120
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-14 -35.5/46.8
Work Description:
Location Description:
Contractor Name: RV Concrete
Contractor Address: 605 E Commercial Street, Anaheim, CA 92801
Resident Engineer: Efraim Chavez Structure Rep.: Unknown
DIME Sample ID: 2026-08-20-72
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: 08/20/2026
Date that the sample was received by the laboratory/organization performing the testing: 08/25/2026
The quantity of what the sample constitutes: 2qt, one container
A brief description of the sample: PMCQS-1H
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: SOLEDAD
DIME Test ID: 2026-08-20-72-1
Test Method: AASHTO T49-22: Standard Method of Test for Penetration of Bituminous Materials
Verified Date: 10/09/2026
Date Tested: 09/14/2026
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: (213) 792-4797
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
|
Average Penetration
|
53 dmm
|
DIME Test ID: 2026-08-20-72-2
Test Method: AASHTO T59-25: Standard Method of Test for Emulsified Asphalts (Particle Charge Cationic Emulsified (Sec. 8))
Verified Date: 10/09/2026
Date Tested: 09/08/2026
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: (213) 792-4797
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
|
Level of current used
|
8.0 mA
|
|
Electrode Type
|
Positive
|
DIME Test ID: 2026-08-20-72-3
Test Method: AASHTO T59-25: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 10/09/2026
Date Tested: 09/08/2026
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: (213) 792-4797
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
|
How many beakers will be used to conduct the test?
|
4
|
|
Beaker 1 Residue
|
61.8 %
|
|
Beaker 2 Residue
|
62 %
|
|
Beaker 3 Residue
|
62 %
|
|
Beaker 4 Residue
|
61.8 %
|
|
Percentage of residue
|
62 %
|
DIME Test ID: 2026-08-20-72-4
Test Method: AASHTO T59-22: Standard Method of Test for Emulsified Asphalts (Viscosity (Saybolt Furol) (Sec. 9))
Verified Date: 10/09/2026
Date Tested: 09/15/2026
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: (213) 792-4797
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
|
Efflux time (ET) for test sample
|
22 sec
|
|
Corrected efflux time as the Saybolt Furol viscosity (Corrected V)
|
1 sec
|
|
Test efflux temperature
|
77 F
|
DIME Test ID: 2026-08-20-72-5
Test Method: AASHTO T59-18: Standard Method of Test for Emulsified Asphalts (Sieve Test (Sec. 13))
Verified Date: 10/09/2026
Date Tested: 09/08/2026
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: (213) 792-4797
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
|
Sample retained
|
no data0 %
|
DIME Test ID: 2026-08-20-72-6
Test Method: AASHTO T59-25: Standard Method of Test for Emulsified Asphalts (Storage Stability of Emulsified (Sec. 18))
Verified Date: 10/09/2026
Date Tested: 09/09/2026
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: (213) 792-4797
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
|
Percent residue from the bottom portion of the sample
|
62 %
|
|
Percent residue from the top portion of the sample
|
62 %
|
|
Storage stability
|
no data0 %
|
DIME Test ID: 2026-08-20-72-7
Test Method: AASHTO T51-22: Standard Method of Test for Ductility of Asphalt Materials (Asphaltic Emulsion)
Verified Date: 10/09/2026
Date Tested: 10/09/2026
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: (213) 792-4797
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
|
Is a normal test obtainable?
|
Yes
|
|
Number of replicates tested
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One
|
|
Was test performed on residue from distillation or evaporation?
|
Evaporation
|
|
Ductility of test #1 (D1)
|
530 mm
|
|
Ductility of sample
|
530 mm
|
