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Sample Record for 2022-07-08-33

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

Project Information

Project ID: 215682 DEA: 031H1904 EFIS: 0316000065 QA Service Level: 1
DIST-CO-RTE-PM: 03-SAC-80,244-M9.6/12.9,0.0/T0.8
Work Description: COLD PLANE AC PAVEMENT, PLACE RHMA AND INDIVIDUAL SLAB REPLACEMENT.
Location Description: SACRAMENTO COUNTY IN AND NEAR SACRAMENTO ON ROUTE 80 FROM 0.2 MILE EAST OF LONGVIEW DRIVE OVERCROSSING TO 0.4 MILE EAST OF MADISON AVENUE OVERCROSSING AND ON ROUTE 244 FROM 0.3 MILE NORTH OF AUBURN BOULEVARD TO CONNECTOR TO ROUTE 80
Contractor Name: A. Teichert and Sons, Inc. DBA Teichert Construction
Contractor Address: 400 Sunrise Blvd., Roseville, CA 95661
Resident Engineer: Deyaedden Elghassein Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2022-07-08-33
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: Quality Assurance
Type of Material: Asphaltic Emulsion
Sample Taken Date: 07/08/2022
Date that the sample was received by the laboratory/organization performing the testing: 07/12/2022
The quantity of what the sample constitutes: 10 Tons
A brief description of the sample: SS-1H Emulsified Asphalt
From where was the sample collected: Distributor
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:
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2022-07-08-33-1
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 07/13/2022
Date Tested: 07/12/2022
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:
Test Result Compliance: complies
Additional Comments When Verified:
How many beakers will be used to conduct the test? 2
Beaker 1 Residue 59.4 %
Beaker 2 Residue 59.6 %
Percentage of residue 60.0 %