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Sample Record for 2020-06-25-43

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

Project Information

Project ID: 214582 DEA: 020J1704 EFIS: 0219000068 QA Service Level: 1
DIST-CO-RTE-PM: 02-SIS-3-36.0/38.1,R45.0/R46.9
Work Description: ASPHALT RUBBER CHIP SEAL WITH REPLACE AC SURFACING AND STRIPING.
Location Description: SISKIYOU COUNTY IN AND NEAR YREKA FROM 0.2 MILE NORTH OF REIDEL RANCH ROAD TO MOFFETT CREEK ROAD AND FROM 3.5 MILES NORTH OF UPPER SOAP CREEK ROAD TO 0.7 MILE NORTH OF RICHMAN ROAD
Contractor Name: AMERICAN PAVEMENT SYSTEMS, INC.
Contractor Address: 1012 11st.,Suit 1000, Modesto, CA
Resident Engineer: Nicole Mallory Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-06-25-43
TL Number from the TL Form: 990661
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: 07/29/2020
The quantity of what the sample constitutes: 1 jug
A brief description of the sample: CQS-1 Emulsion
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Albina

Material Information

Emulsion Grade: CQS-1
Lot Number:
Sub Lot:
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2020-06-25-43-2
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 08/04/2020
Date Tested: 08/03/2020
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:
How many beakers will be used to conduct the test? 4
Beaker 1 Residue 33.0 %
Beaker 2 Residue 33.0 %
Beaker 3 Residue 32.8 %
Beaker 4 Residue 32.8 %
Percentage of residue 32.9 %