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Sample Record for 2020-09-11-24

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

Project Information

Project ID: 214694 DEA: 09380604 EFIS: 0919000055 QA Service Level: 1
DIST-CO-RTE-PM: 09-INY-136,190-7.0/17.7,24.6/24.8
Work Description: COLD IN-PLACE RECYCLING AND HOT MIX ASPHALT OVERLAY.
Location Description: INYO COUNTY AT AND NEAR KEELER ON ROUTE 136 FROM 0.8 MILE WEST OF DOLOMITE LOOP ROAD EAST TO ROUTE 190 AND ON ROUTE 190 FROM ROUTE 136 TO 0.3 MILE EAST OF ROUTE 136
Contractor Name: Hat Creek Construction
Contractor Address: 24339 Highway 89 N, Burney, CA 96013
Resident Engineer: Steve Tisell Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-09-11-24
TL Number from the TL Form: 993723
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: 09/11/2020
Date that the sample was received by the laboratory/organization performing the testing: 09/25/2020
The quantity of what the sample constitutes: 1 jar
A brief description of the sample: PASS-R ASPHALTIC EMULSION
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Irwindale Facility

Material Information

Emulsion Grade: PASS-R
Lot Number:
Sub Lot:

Test Results

Test 1 of 1

DIME Test ID: 2020-09-11-24-1
Test Method: CTM 330-September 2017: Method of Test for Residue by Evaporation of Emulsified Asphalt
Verified Date: 09/29/2020
Date Tested: 09/28/2020
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:
Residue 63.9 %