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Sample Record for 2021-12-08-19

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Project Information

Project ID: 215425 DEA: 06360244 EFIS: 0613000005 QA Service Level: 1
DIST-CO-RTE-PM: 06-TUL-99-30.6/35.2
Work Description: Widen Freeway & Bridge Construction (Concrete Bridge)
Location Description:
Contractor Name: SECURITY PAVING COMPANY, INC.
Contractor Address: 13170 TELFAIR AVE, SYLMAR, CA, 91342
Resident Engineer: Javier Huerta Structure Rep.: Ramandeep Guraya

Sample Information

DIME Sample ID: 2021-12-08-19
TL Number from the TL Form:
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: 12/13/2021
The quantity of what the sample constitutes: 1
A brief description of the sample: SS-1H 1jug emulsion
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Talley Oil

Material Information

Emulsion Grade: SS-1h
Lot Number:
Sub Lot:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2021-12-08-19-1
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
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
Data has not been verified.

Test 2 of 2

DIME Test ID: 2021-12-08-19-2
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 12/15/2021
Date Tested: 12/15/2021
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: does not comply
Additional Comments When Verified:
How many beakers will be used to conduct the test? 4
Beaker 1 Residue 55.4 %
Beaker 2 Residue 55.0 %
Beaker 3 Residue 55.8 %
Beaker 4 Residue 55.8 %
Percentage of residue 56.0 %