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Sample Record for 2021-08-06-21

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Project Information

Project ID: 213411 DEA: 030H10U4 EFIS: 0317000246 QA Service Level: 1
DIST-CO-RTE-PM: 03-SAC-5-9.7/24.9
Work Description:
Location Description: Construction on state highway in Sacramento County in and near Sacramento from 1.1 miles south of Elk Grove Boulevard to American River Viaduct
Contractor Name: NOR CAL PAVING TEICHERT/GRANITE
Contractor Address: 400 Sunrise Ave. Ste. #300, Roseville, CA 95661
Resident Engineer: Daniel Tecle Structure Rep.: Pha Tran

Sample Information

DIME Sample ID: 2021-08-06-21
TL Number from the TL Form: c059968
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: 08/06/2021
Date that the sample was received by the laboratory/organization performing the testing: 08/13/2021
The quantity of what the sample constitutes: 1 bottle
A brief description of the sample: SS-1h Emulstion
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Pacific Northwest Oil - Stockton, CA

Material Information

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

Test Results

Test 1 of 1

DIME Test ID: 2021-08-06-21-1
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 09/13/2021
Date Tested: 08/17/2021
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: complies
Additional Comments When Verified:
How many beakers will be used to conduct the test? 4
Beaker 1 Residue 59.4 %
Beaker 2 Residue 59.4 %
Beaker 3 Residue 59.4 %
Beaker 4 Residue 59.6 %
Percentage of residue 59 %