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Sample Record for 2023-04-29-2

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

Project Information

Project ID: 994778 DEA: 034J0304 EFIS: 0323000051 QA Service Level: 1
DIST-CO-RTE-PM: 03-YOL-5-R6.64/R6.64
Work Description:
Location Description:
Contractor Name: Granite Construction
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-04-29-2
TL Number from the TL Form: TL 875259
Sample Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Department Acceptance
Type of Material: Asphaltic Emulsion
Sample Taken Date: 04/29/2023
Date that the sample was received by the laboratory/organization performing the testing: 05/01/2023
The quantity of what the sample constitutes: 1 of 1
A brief description of the sample: Tack oil ss1h
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: unknown

Material Information

Emulsion Grade: SS-1h
Lot Number:
Sub Lot:
Dilution Percentage Rate:

Test Results

Test 1 of 1

DIME Test ID: 2023-04-29-2-2
Test Method: AASHTO T59-22: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 05/03/2023
Date Tested: 05/02/2023
Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (530) 713-6823
General Comments for this Test: evap
Test Result Compliance: complies
Additional Comments When Verified:
How many beakers will be used to conduct the test? 2
Beaker 1 Residue 57.8 %
Beaker 2 Residue 57.8 %
Percentage of residue 58 %

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
2023-04-29-2-1AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))05/02/2023Not scheduledHumberto RamirezCT HQ - Sacramento Hot Mix Asphalt Laboratory