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Sample Record for 2023-09-15-65

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

Project Information

Project ID: 994761 DEA: 010M0904 EFIS: 0122000092 QA Service Level: 1
DIST-CO-RTE-PM: 01-MEN-101-R100.1/R106.2
Work Description: MICROSURFACING AND THERMOPLASTIC TRAFFIC STRIPING (EWNV).
Location Description: MENDOCINO COUNTY NEAR PIERCY FROM SOUTH FORK EEL RIVER BRIDGE 10-0300 TO 0.6 MILE SOUTH OF HUMBOLDT COUNTY LINE
Contractor Name: Doolittle Construction LLC DBA Doolittle Road Construction
Contractor Address: 12 Business Park Way, Suite 105, Sacramento, CA 95828
Resident Engineer: Brian Apple Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-09-15-65
TL Number from the TL Form: 971582
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: 09/15/2023
Date that the sample was received by the laboratory/organization performing the testing: 09/28/2023
The quantity of what the sample constitutes: 1 jar of 4
A brief description of the sample: 1 jar MSE
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: VSS Emultech

Material Information

Emulsion Grade: MSE
Lot Number:
Sub Lot:
Dilution Percentage Rate:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2023-09-15-65-1
Test Method: AASHTO T59-22: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 09/29/2023
Date Tested: 09/29/2023
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:
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 63.4 %
Percentage of residue 63 %

Test 2 of 2

DIME Test ID: 2023-09-15-65-2
Test Method: AASHTO T59-22: Standard Method of Test for Emulsified Asphalts (Particle Charge Cationic Emulsified (Sec. 8))
Verified Date: 10/02/2023
Date Tested: 10/02/2023
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:
Test Result Compliance: complies
Additional Comments When Verified:
Level of current used 8.0 mA
Electrode Type Positive