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Sample Record for 2021-08-15-5

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

Project Information

Project ID: 215512 DEA: 010K4504 EFIS: 0120000099 QA Service Level: 1
DIST-CO-RTE-PM: 01-HUM-101-65.5/69.9
Work Description: MICRO-SURFACING WITH CRACK TREATMENT AND TRAFFIC STRIPE TAPE.
Location Description: HUMBOLDT COUNTY AT BEATRICE FROM 0.4 MILE SOUTH OF LOLETA DRIVE OVERCROSSING TO 0.7 MILE SOUTH OF TOMPKINS HILL ROAD OVERHEAD
Contractor Name: PAVEMENT COATINGS CO
Contractor Address: 10240 San Sevaine Way, Jurupa Valley, CA 91752
Resident Engineer: Tai Morgan-Marbet Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-08-15-5
TL Number from the TL Form: 972622
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: 08/15/2021
Date that the sample was received by the laboratory/organization performing the testing: 08/23/2021
The quantity of what the sample constitutes: 1 jug
A brief description of the sample: EMULSION
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: WESTERN EMULSIONS WHITE CITY OR

Material Information

Emulsion Grade: MSE
Lot Number:
Sub Lot:

Test Results

Test 1 of 1

DIME Test ID: 2021-08-15-5-1
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 08/27/2021
Date Tested: 08/26/2021
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
Test Result Compliance: complies
Additional Comments When Verified:
How many beakers will be used to conduct the test? 2
Beaker 1 Residue 65.0 %
Beaker 2 Residue 65.2 %
Percentage of residue 65.0 %

Tests Assigned to this Sample

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