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Sample Record for 2020-11-02-8

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Project Information

Project ID: 214449 DEA: 030H3414 EFIS: 0317000152 QA Service Level: 1
DIST-CO-RTE-PM: 03-ED-50-R28.5/R29.1,R31.2
Work Description: REPLACE BRIDGE, RESTORE CULVERTS, AND ADD HIGHWAY PLANTING.
Location Description: EL DORADO COUNTY NEAR POLLOCK PINES FROM 0.3 MILE WEST TO 0.3 MILE EAST OF RIDGEWAY DRIVE UNDERCROSSING AND AT 0.1 MILE WEST OF SLY PARK ROAD UNDERCROSSING
Contractor Name: Flatiron West
Contractor Address: 2100 Goodyear Road, Benicia, CA 94510
Resident Engineer: Jody Phillips Structure Rep.: Joe Harline

Sample Information

DIME Sample ID: 2020-11-02-8
TL Number from the TL Form: 790468
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: 11/02/2020
Date that the sample was received by the laboratory/organization performing the testing: 11/04/2020
The quantity of what the sample constitutes: 1 gallon of emulsion
A brief description of the sample: Asphaltic emulsion 1 gallon
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Redding - VSS

Material Information

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

Test Results

Test 1 of 2

DIME Test ID: 2020-11-02-8-1
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
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
This test has been superseded on 11/06/2020.
Reason: retested

Test 2 of 2

DIME Test ID: 2020-11-02-8-2
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 11/06/2020
Date Tested: 11/05/2020
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: Per 2018 Standard Specifications
Test Result Compliance:
Additional Comments When Verified:
How many beakers will be used to conduct the test? 4
Beaker 1 Residue 37.2 %
Beaker 2 Residue 37.4 %
Beaker 3 Residue 37.0 %
Beaker 4 Residue 37.4 %
Percentage of residue 37.3 %