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Sample Record for 2023-05-25-61

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

Project Information

Project ID: 994877 DEA: 101R4204 EFIS: 0123000142 QA Service Level: 1
DIST-CO-RTE-PM: 10-STA-5,5,33-0.0/2.0/27.0/14.5
Work Description:
Location Description:
Contractor Name: George Reed, Inc.
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-05-25-61
TL Number from the TL Form: 035129
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: 05/25/2023
Date that the sample was received by the laboratory/organization performing the testing: 06/09/2023
The quantity of what the sample constitutes: i of 1 bottle
A brief description of the sample: SS-1H
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:
Dilution Percentage Rate:
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2023-05-25-61-2
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 06/14/2023
Date Tested: 06/14/2023
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:
Additional Comments When Verified:
How many beakers will be used to conduct the test? 2
Beaker 1 Residue 62.8 %
Beaker 2 Residue 63.2 %
Percentage of residue 63 %