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Sample Record for 2021-07-30-1

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

Project Information

Project ID: 215623 DEA: 010K5404 EFIS: 0120000114 QA Service Level: 1
DIST-CO-RTE-PM: 01-HUM-101-R48.3/58.8
Work Description: MICRO-SURFACING, CRACK TREATMENT AND THERMOPLASTIC TRAFFIC STRIPE.
Location Description: HUMBOLDT COUNTY NEAR SCOTIA FROM EEL RIVER BOH (RICHARD FLEISCHER MEMORIAL) TO 1.1 MILES NORTH OF ROUTE 36/101 SEPARATION
Contractor Name: VSS International Inc.
Contractor Address: 3785 Channel Dr., West Sacramento CA, 95691
Resident Engineer: Tai Morgan Marbet Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-07-30-1
TL Number from the TL Form: 00000
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: 07/30/2021
Date that the sample was received by the laboratory/organization performing the testing: 07/30/2021
The quantity of what the sample constitutes: 2 jugs
A brief description of the sample: MSE
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: VSS Emultech

Material Information

Emulsion Grade: MSE
Lot Number:
Sub Lot:
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2021-07-30-1-1
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 08/02/2021
Date Tested: 08/02/2021
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: Pass
How many beakers will be used to conduct the test? 4
Beaker 1 Residue 64.6 %
Beaker 2 Residue 64.0 %
Beaker 3 Residue 64.0 %
Beaker 4 Residue 64.4 %
Percentage of residue 64.0 %