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Sample Record for 2020-09-23-26

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

Project Information

Project ID: 214907 DEA: 101K4204 EFIS: 1019000103 QA Service Level: 1
DIST-CO-RTE-PM: 10-MER,STA-165-30.6/36.7,0.0/1.6
Work Description: COLD PLANE AC PAVEMENT, RESURFACE WITH RHMA, AND MICRO-SURFACING.
Location Description: MERCED COUNTY IN AND NEAR HILMAR FROM MERCED RIVER BRIDGE TO STANISLAUS COUNTY LINE AND IN STANISLAUS COUNTY NEAR TURLOCK FROM MERCED COUNTY LINE TO ROUTE 99/165 SEPARATION
Contractor Name: TEICHERT CONSTRUCTION
Contractor Address: 400 SUNRISE AVE. SUITE 300;, ROSEVILLE CA 95661
Resident Engineer: Vince Ladiao Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-09-23-26
TL Number from the TL Form: 838007
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: 09/23/2020
Date that the sample was received by the laboratory/organization performing the testing: 09/25/2020
The quantity of what the sample constitutes: 1 jug
A brief description of the sample: SS-1H Tack Coat ASPHALTIC EMULSION
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: VSS Emultech

Material Information

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

Test Results

Test 1 of 1

DIME Test ID: 2020-09-23-26-1
Test Method: CTM 331-September 2017: Method of Test for Residue by Evaporation of Latex Modified Asphalt Emulsion
Verified Date: 10/05/2020
Date Tested: 10/01/2020
Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Organization Address: 5900 Folsom Boulevard,
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 64 %

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.