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Sample Record for 2023-04-24-64

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

Project Information

Project ID: 994509 DEA: 101R4004 EFIS: 1023000140 QA Service Level: 1
DIST-CO-RTE-PM: 10-MER,MER/MER-5,59,152-22.6/32.5
Work Description:
Location Description:
Contractor Name: George Reed
Contractor Address: P.O. Box 4760, Modesto, CA 95352
Resident Engineer: Tofael Anwar Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-04-24-64
TL Number from the TL Form: 731291
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: 04/24/2023
Date that the sample was received by the laboratory/organization performing the testing: 05/03/2023
The quantity of what the sample constitutes: 1 of 1 can
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: VSS Emultech

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: 2023-04-24-64-1
Test Method: AASHTO T59-22: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 05/05/2023
Date Tested: 05/04/2023
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: evap
Test Result Compliance: complies
Additional Comments When Verified:
How many beakers will be used to conduct the test? 2
Beaker 1 Residue 63.4 %
Beaker 2 Residue 63.6 %
Percentage of residue 64 %