Sample Record for 2023-08-11-34
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 994722 DEA: 101P4804 EFIS: 1022000128
QA Service Level: 1
DIST-CO-RTE-PM: 10---
Work Description:
Location Description:
Contractor Name: George Reed Construction Inc
Contractor Address: 140 Empire Ave, Modesto, CA 95354
Resident Engineer: Troy Scheiber Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2023-08-11-34
TL Number from the TL Form: 660202
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: 08/11/2023
Date that the sample was received by the laboratory/organization performing the testing: 08/15/2023
The quantity of what the sample constitutes: 1 0f 1 jug
A brief description of the sample: 1 jug of emulsion
From where was the sample collected: Job Site
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
Test 1 of 2
DIME Test ID: 2023-08-11-34-1
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
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: (916) 227-7302
This test has been superseded on 08/17/2023. The corrected test ID is: 2023-08-11-34-2
Reason: retested
Test 2 of 2
DIME Test ID: 2023-08-11-34-2
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 08/17/2023
Date Tested: 08/17/2023
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
The test was superseded from test ID: 2023-08-11-34-1
Test Result Compliance: complies
Additional Comments When Verified:
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How many beakers will be used to conduct the test?
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2
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Beaker 1 Residue
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59.2 %
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Beaker 2 Residue
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59 %
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Percentage of residue
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59 %
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