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Sample Record for 2021-07-28-7

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

Project Information

Project ID: 215626 DEA: 032G1504 EFIS: 0320000234 QA Service Level: 1
DIST-CO-RTE-PM: 03-PLA-193-3.0/10.1
Work Description: COLD PLANE AC PAVEMENT & RHMA OVERLAY.
Location Description: PLACER COUNTY NEAR LINCOLN FROM SIERRA COLLEGE BOULEVARD TO OPHIR ROAD
Contractor Name: A. TEICHERT & SON, INC. DBA TEICHERT CONSTRUCTION
Contractor Address: 265 VAL DERVIN PARKWAY, STOCKTON, CA 95201
Resident Engineer: Martin Clark Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-07-28-7
TL Number from the TL Form: 880744
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: 07/28/2021
Date that the sample was received by the laboratory/organization performing the testing: 07/30/2021
The quantity of what the sample constitutes: 1 jug
A brief description of the sample: ss1h
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Pacific Northwest Oil

Material Information

Emulsion Grade: SS-1h
Lot Number:
Sub Lot:

Test Results

Test 1 of 1

DIME Test ID: 2021-07-28-7-1
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 08/02/2021
Date Tested: 08/02/2021
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: Per 2018 Standard Specifications
Test Result Compliance:
Additional Comments When Verified: if SS1H is pure (100%), it does not meet minimum of 57%
How many beakers will be used to conduct the test? 4
Beaker 1 Residue 45.2 %
Beaker 2 Residue 45 %
Beaker 3 Residue 45.2 %
Beaker 4 Residue 44.8 %
Percentage of residue 45 %