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Sample Record for 2022-05-11-27

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

Project Information

Project ID: 993427 DEA: 061C4004 EFIS: 0621000165 QA Service Level: 1
DIST-CO-RTE-PM: 06-TUL-198,245-37.5/41.3,6.0/8.1
Work Description: COLD PLANE AC PAVEMENT, HMA (TYPE A), SLURRY SEAL, AND STRIPING.
Location Description: TULARE COUNTY NEAR THREE RIVERS ON ROUTE 198 FROM 0.3 MILE EAST OF THREE RIVERS DRIVE TO ROAD TO SAINT ANTHONY AND IN WOODLAKE ON ROUTE 245 FROM SAINT JOHNS RIVER TO CAJON AVENUE
Contractor Name: VSS International Inc.
Contractor Address: 3785 Channel Dr., West Sacramento CA, 95691
Resident Engineer: Haidar Haddadin Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2022-05-11-27
TL Number from the TL Form: C039874
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: 05/11/2022
Date that the sample was received by the laboratory/organization performing the testing: 05/13/2022
The quantity of what the sample constitutes: 1 OF 2 BOTTLES
A brief description of the sample: EMULSION
From where was the sample collected: Other
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: VSS Emultech

Material Information

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

Test Results

Test 1 of 1

DIME Test ID: 2022-05-11-27-1
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 05/17/2022
Date Tested: 05/17/2022
Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Organization Address: 5900 Folsom Boulevard,
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:
Test Result Compliance: complies
Additional Comments When Verified:
How many beakers will be used to conduct the test? 2
Beaker 1 Residue 64.8 %
Beaker 2 Residue 64.8 %
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.