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Sample Record for 2021-12-08-17

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

Project Information

Project ID: 993451 DEA: 035C4004 QA Service Level: 1
DIST-CO-RTE-PM: 03-SAC-160-46.3
Work Description:
Location Description:
Contractor Name: Flatiron West
Contractor Address: 2100 Goodyear Road, Benicia, CA 94510
Resident Engineer: Brett Dippert Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-12-08-17
TL Number from the TL Form: 788964
Sample Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Verification
Type of Material: Asphaltic Emulsion
Sample Taken Date: 12/08/2021
Date that the sample was received by the laboratory/organization performing the testing: 12/10/2021
The quantity of what the sample constitutes: i jug
A brief description of the sample: SS-H EMULSION
From where was the sample collected: Source
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: 2021-12-08-17-1
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 12/14/2021
Date Tested: 12/13/2021
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:
How many beakers will be used to conduct the test? 2
Beaker 1 Residue 58.2 %
Beaker 2 Residue 59.0 %
Percentage of residue 59.0 %