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Sample Record for 2021-08-18-21

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Project Information

Project ID: 215296 DEA: 031F1504 EFIS: 0300001101 QA Service Level: 1
DIST-CO-RTE-PM: 03-SAC-50-R7.7/R9.5
Work Description: PLACE HMA, RHMA, AGGREGATE BASE AND FIBER OPTIC SYSTEM.
Location Description: SACRAMENTO COUNTY IN AND NEAR RANCHO CORDOVA FROM BRADSHAW ROAD OVERCROSSING TO MATHER FIELD OVERCROSSING
Contractor Name: DeSILVA GATES CONSTRUCTION
Contractor Address: 3855 N Freeway, Ste. 100, Sacramento, CA 95834
Resident Engineer: Ephrem Teweldeburhan Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-08-18-21
TL Number from the TL Form: 789519
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: 08/18/2021
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: 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: 2021-08-18-21-1
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 48.8 %
Beaker 2 Residue 48.4 %
Percentage of residue 49.0 %

Tests Assigned to this Sample

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