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Sample Record for 2021-07-15-18

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

Project Information

Project ID: 215531 DEA: 060Y1004 EFIS: 0620000134 QA Service Level: 1
DIST-CO-RTE-PM: 06-FRE-168-L27.4/39.7
Work Description: PLACE POLYMER ASPHALTIC EMULSION (SEAL COAT).
Location Description: FRESNO COUNTY NEAR PRATHER FROM 0.1 MILE EAST OF LODGE ROAD TO 0.1 MILE WEST OF CRESSMAN ROAD
Contractor Name: AMERICAN PAVEMENT SYSTEMS , Inc.
Contractor Address: 1012 11th Street, Modesto, CA 95354
Resident Engineer: Mark Mengoni Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-07-15-18
TL Number from the TL Form: 816385
Sample Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Department Acceptance
Type of Material: Asphaltic Emulsion
Sample Taken Date: 07/15/2021
Date that the sample was received by the laboratory/organization performing the testing: 07/20/2021
The quantity of what the sample constitutes: 1 jug
A brief description of the sample: Emulstion - chip seal
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Western Emulsions Inc

Material Information

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

Test Results

Test 1 of 1

DIME Test ID: 2021-07-15-18-1
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 07/23/2021
Date Tested: 07/23/2021
Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Organization Address: 5900 Folsom Boulevard, Room 225,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (916) 227-7302
General Comments for this Test: 2018 per spec.
Test Result Compliance:
Additional Comments When Verified:
How many beakers will be used to conduct the test? 4
Beaker 1 Residue 31.6 %
Beaker 2 Residue 32.4 %
Beaker 3 Residue 32.4 %
Beaker 4 Residue 32.0 %
Percentage of residue 32 %