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Sample Record for 2021-08-21-4

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Project Information

Project ID: 215604 DEA: 032G1704 EFIS: 0320000236 QA Service Level: 1
DIST-CO-RTE-PM: 03-YOL-113-R10.2/R11.1
Work Description: Slab Replacement
Location Description: In Yolo County on route 113 In Woodland From East Woodland Overhead To 0.4 Mile West of Route 113/5 Separation
Contractor Name: FBD VANGUARD CONSTRUCTION, INC.
Contractor Address: 550 Greenville Rd., Livermore, CA 94550
Resident Engineer: David Maher Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-08-21-4
TL Number from the TL Form: 789489
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: 08/21/2021
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: ss1h
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Pacific Northwest Oil

Material Information

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

Test Results

Test 1 of 1

DIME Test ID: 2021-08-21-4-1
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: 08/25/2021
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:
Additional Comments When Verified:
How many beakers will be used to conduct the test? 2
Beaker 1 Residue 49.8 %
Beaker 2 Residue 49.8 %
Percentage of residue 50.0 %

Tests Assigned to this Sample

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