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Sample Record for 2021-05-03-21

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

Project Information

Project ID: 215321 DEA: 060U1004 EFIS: 0615000211 QA Service Level: 1
DIST-CO-RTE-PM: 06-KER-43,119-0.1/9.3,18.2/19.7
Work Description: COLD IN PLACE RECYCLING AND RESURFACING EXISTING ROADWAY WITH RHMA.
Location Description: KERN COUNTY NEAR BAKERSFIELD ON ROUTE 43 FROM ROUTE 119 TO 0.1 MILE NORTH OF ROUTE 58-MCKITTRICK HIGHWAY AND ON ROUTE 119 FROM ROUTE 43 TO ROUTE 119/5 SEPARATION
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: Unknown
Resident Engineer: Amarjit Dhaliwal Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-05-03-21
TL Number from the TL Form: c929997
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: 05/03/2021
Date that the sample was received by the laboratory/organization performing the testing: 05/13/2021
The quantity of what the sample constitutes: 1 jug
A brief description of the sample: Emulsion Sample
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Wester Emulsions

Material Information

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

Test Results

Test 1 of 2

DIME Test ID: 2021-05-03-21-1
Test Method: CTM 330-September 2017: Method of Test for Residue by Evaporation of Emulsified Asphalt
Verified Date: 05/13/2021
Date Tested: 05/13/2021
Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Organization Address: 5900 Folsom Blvd,
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 Standard Spec.
Test Result Compliance:
Additional Comments When Verified:
Residue 66.1 %

Test 2 of 2

DIME Test ID: 2021-05-03-21-2
Test Method: CTM 330-September 2017: Method of Test for Residue by Evaporation of Emulsified Asphalt
Verified Date: 05/13/2021
Date Tested: 05/13/2021
Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Organization Address: 5900 Folsom Blvd,
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 Standard Spec.
Test Result Compliance: complies
Additional Comments When Verified:
Residue 66.1 %

Tests Assigned to this Sample

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