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Sample Record for 2020-06-25-13

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

Project Information

Project ID: 214711 DEA: 010J5004 EFIS: 0119000047 QA Service Level: 1
DIST-CO-RTE-PM: 01-DN-199-R22.1/36.4
Work Description: MICROSURFACING, REPLACE AC SURFACING AND THERMOPLASTIC STRIPE.
Location Description: DEL NORTE COUNTY NEAR PATRICK CREEK FROM PATRICK CREEK BRIDGE TO OREGON STATE LINE
Contractor Name: VSS International Inc.
Contractor Address: 3785 Channel Dr., West Sacramento CA, 95691
Resident Engineer: Karen Sanders Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-06-25-13
TL Number from the TL Form: 637057
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: 06/25/2020
Date that the sample was received by the laboratory/organization performing the testing: 06/26/2020
The quantity of what the sample constitutes: 2 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: Western Emulsions Inc

Material Information

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

Test Results

Test 1 of 1

DIME Test ID: 2020-06-25-13-1
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Residue and Oil Distillate (Sec. 6))
Verified Date: 07/06/2020
Date Tested: 07/06/2020
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:
What parameters are being calculated? Percentage of oil residue
Is this a polymer-modified emulsion No
Percentage of oil residue 64.2 %