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Sample Record for 2021-05-20-20

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

Project Information

Project ID: 214531 DEA: 043J3204 EFIS: 0415000131 QA Service Level: 1
DIST-CO-RTE-PM: 04-SCL,SM-280-11.5/20.6
Work Description: Replace PCC slabs, resurface AC, place curb ramps and guardrails IN LOS ALTOS HILLS AND MENLO PARK FROM FOOTHILL EXPRESSWAY UNDERCROSSING TO 0.5 MILE NORTH OF SAND HILL ROAD OVERCROSSING
Location Description:
Contractor Name: OC Jones
Contractor Address: 1520 Fourth Street, Berkeley, CA 94710
Resident Engineer: Eunmi Choi Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-05-20-20
TL Number from the TL Form: c745677
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: 05/20/2021
Date that the sample was received by the laboratory/organization performing the testing: 06/04/2021
The quantity of what the sample constitutes: 1 of 2 jags
A brief description of the sample: SS-1h
From where was the sample collected: Distributor
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Pacific Northwest Oil - Stockton, CA

Material Information

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

Test Results

Test 1 of 1

DIME Test ID: 2021-05-20-20-1
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 06/08/2021
Date Tested: 06/07/2021
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: Per 2018 Standard Specifications
Test Result Compliance: complies
Additional Comments When Verified:
How many beakers will be used to conduct the test? 4
Beaker 1 Residue 59.4 %
Beaker 2 Residue 59.2 %
Beaker 3 Residue 59.0 %
Beaker 4 Residue 59.2 %
Percentage of residue 59.0 %