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Sample Record for 2021-11-04-17

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

Project Information

Project ID: 214764 DEA: 032H6404 EFIS: 0317000167 QA Service Level: 1
DIST-CO-RTE-PM: 03-SAC-12,160-0.4/0.9,L10.5/R0.2
Work Description: MODIFY SIGNAL AND LIGHTING SYSTEM, PLACE RHMA AND ROADWAY EXCAVATION.
Location Description: SACRAMENTO COUNTY NEAR RIO VISTA ON ROUTE 12 FROM 0.6 MILE EAST OF SACRAMENTO RIVER BRIDGE TO 5.2 MILES WEST OF MOKELUMNE RIVER BRIDGE AND ON ROUTE 160 FROM 3.6 MILES NORTH OF THREE MILE SLOUGH BRIDGE TO 2.7 MILES SOUTH OF CIRCLE DRIVE
Contractor Name: OC JONES & CO.
Contractor Address: 1520 4th Street, Berkeley, Ca 94710
Resident Engineer: Frank Cannizzaro Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-11-04-17
TL Number from the TL Form:
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: 11/04/2021
Date that the sample was received by the laboratory/organization performing the testing: 11/08/2021
The quantity of what the sample constitutes: 1 jar
A brief description of the sample: tack oil
From where was the sample collected: Manufacturer
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: 2021-11-04-17-1
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 11/10/2021
Date Tested: 11/08/2021
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? 2
Beaker 1 Residue 58.4 %
Beaker 2 Residue 58.4 %
Percentage of residue 58 %