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Sample Record for 2021-06-09-18

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

Project Information

Project ID: 215566 DEA: 061A8504 EFIS: 0620000084 MINOR: 06A2646 QA Service Level: 1
DIST-CO-RTE-PM: 06-FRE-180,41-R58.4/R58.6,R24.5/R24.8
Work Description:
Location Description:
Contractor Name: BUSH ENGINEERING INCORPORATED
Contractor Address: 5828 East Harvard Ave, Fresno, CA 93727
Resident Engineer: Donald Hiura Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-06-09-18
TL Number from the TL Form: c123458
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: 06/09/2021
Date that the sample was received by the laboratory/organization performing the testing: 06/14/2021
The quantity of what the sample constitutes: 1 jar
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: Standard Emulsion

Material Information

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

Test Results

Test 1 of 1

DIME Test ID: 2021-06-09-18-1
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 06/16/2021
Date Tested: 06/16/2021
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 2018 Standard Specifications
Additional Comments When Verified:
How many beakers will be used to conduct the test? 4
Beaker 1 Residue 39.6 %
Beaker 2 Residue 39.4 %
Beaker 3 Residue 39.6 %
Beaker 4 Residue 39.6 %
Percentage of residue 40.0 %

Tests Assigned to this Sample

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