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Sample Record for 2020-04-23-16

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Project Information

Project ID: 214136 DEA: 010F3604 EFIS: 0115000115 QA Service Level: 1
DIST-CO-RTE-PM: 01-HUM-101-R39.2/R48.3
Work Description: COLD PLANE AC PAVEMENT, RHMA OVERLAY, AND GUARDRAIL INSTALLATION.
Location Description: HUMBOLDT COUNTY NEAR REDCREST, PEPPERWOOD, AND STAFFORD FROM ENGLWOOD PARK UNDERCROSSING TO EEL RIVER BRIDGE AND OVERHEAD
Contractor Name: MERCER-FRASER COMPANY
Contractor Address: PO BOX 1006, EUREKA CA 95502
Resident Engineer: Joaquin Rodriguez Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-04-23-16
TL Number from the TL Form: 899093
Sample Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Acceptance
Type of Material: Asphaltic Emulsion
Sample Taken Date: 04/23/2020
Date that the sample was received by the laboratory/organization performing the testing: 05/19/2020
The quantity of what the sample constitutes: 5 BOTTLES
A brief description of the sample: EMULSION
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Western Emulsions Inc

Material Information

Emulsion Grade: CSS-1h
Lot Number: 0
Sub Lot: 0
Test results on following page(s): 5

Test Results

Test 1 of 5

DIME Test ID: 2020-04-23-16-1
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Residue and Oil Distillate (Sec. 6))
Verified Date: 05/20/2020
Date Tested: 05/20/2020
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:
Test Result Compliance:
Additional Comments When Verified: Sample #1, 4/23/20
What parameters are being calculated? Percentage of oil residue
Is this a polymer-modified emulsion Yes
Percentage of oil residue 67.5 %

Test 2 of 5

DIME Test ID: 2020-04-23-16-2
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Residue and Oil Distillate (Sec. 6))
Verified Date: 05/20/2020
Date Tested: 05/20/2020
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:
Test Result Compliance:
Additional Comments When Verified: Sample#2, 4/30/20
What parameters are being calculated? Percentage of oil residue
Is this a polymer-modified emulsion Yes
Percentage of oil residue 67.5 %

Test 3 of 5

DIME Test ID: 2020-04-23-16-3
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Residue and Oil Distillate (Sec. 6))
Verified Date: 05/21/2020
Date Tested: 05/20/2020
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: Sample #3, 5/6/20
Test Result Compliance:
Additional Comments When Verified:
What parameters are being calculated? Percentage of oil residue
Is this a polymer-modified emulsion Yes
Percentage of oil residue 67.0 %

Test 4 of 5

DIME Test ID: 2020-04-23-16-4
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Residue and Oil Distillate (Sec. 6))
Verified Date: 05/21/2020
Date Tested: 05/21/2020
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: Sample #4, 5/7/20
Test Result Compliance:
Additional Comments When Verified:
What parameters are being calculated? Percentage of oil residue
Is this a polymer-modified emulsion Yes
Percentage of oil residue 64.7 %

Test 5 of 5

DIME Test ID: 2020-04-23-16-5
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Residue and Oil Distillate (Sec. 6))
Verified Date: 05/21/2020
Date Tested: 05/21/2020
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: Sample #5, 5/10/20
Test Result Compliance:
Additional Comments When Verified:
What parameters are being calculated? Percentage of oil residue
Is this a polymer-modified emulsion Yes
Percentage of oil residue 64.1 %