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Sample Record for 2021-05-16-7

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

Project Information

Project ID: 215716 DEA: 061A8404 EFIS: 0620000083 MINOR: 06A2645 QA Service Level: 1
DIST-CO-RTE-PM: 06--,241-
Work Description:
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: John Carter Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-05-16-7
TL Number from the TL Form:
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: 05/16/2021
Date that the sample was received by the laboratory/organization performing the testing: 05/19/2021
The quantity of what the sample constitutes: 1 jag
A brief description of the sample: SS-1h 70/30
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Talley Oil - Madera

Material Information

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

Test Results

Test 1 of 1

DIME Test ID: 2021-05-16-7-1
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 05/20/2021
Date Tested: 05/20/2021
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: 2018 per spec
Test Result Compliance:
Additional Comments When Verified:
How many beakers will be used to conduct the test? 4
Beaker 1 Residue 45.2 %
Beaker 2 Residue 45.2 %
Beaker 3 Residue 45.0 %
Beaker 4 Residue 45.2 %
Percentage of residue 45.0 %