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Sample Record for 2020-05-28-11

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Project Information

Project ID: 214680 DEA: 030F2854 EFIS: 0319000205 QA Service Level: 1
DIST-CO-RTE-PM: 03-SAC-99-7.1/9.4
Work Description: Construct the temporary bridge superstructures, adjacent paving and pave temporary alignment
Location Description:
Contractor Address: 4001 Bradshaw Road, Sacramento, CA 95827
Resident Engineer: Masoud Saed Structure Rep.: Chau Ha

Sample Information

DIME Sample ID: 2020-05-28-11
TL Number from the TL Form: 739756
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: 05/28/2020
Date that the sample was received by the laboratory/organization performing the testing: 06/03/2020
The quantity of what the sample constitutes: 1 bottle
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: Pacific Northwest Oil - Stockton, CA

Material Information

Emulsion Grade: SS-1h
Lot Number: 0
Sub Lot: 0

Test Results

Test 1 of 1

DIME Test ID: 2020-05-28-11-1
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Residue and Oil Distillate (Sec. 6))
Verified Date: 06/09/2020
Date Tested: 06/09/2020
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:
Organization Phone: (916) 227-7302
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
What parameters are being calculated? Percentage of oil residue
Is this a polymer-modified emulsion No
Percentage of oil residue 59.9 %