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Sample Record for 2022-05-17-38

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

Project Information

Project ID: 993471 DEA: 061C4604 EFIS: 0621000168 QA Service Level: 1
DIST-CO-RTE-PM: 06-KER-223-R10.6/R20.1
Work Description: RESURFACE WITH HMA (TYPE A) AND POLYMER ASPHALT EMULSION SEAL COAT.
Location Description: KERN COUNTY NEAR ARVIN FROM ROUTE 223/99 SEPARATION TO COMANCHE DRIVE
Contractor Name: AMERICAN PAVEMENT SYSTEMS , Inc.
Contractor Address: 1012 11th Street #1000, Modesto, CA 95354
Resident Engineer: Amarjit Dhaliwal Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2022-05-17-38
TL Number from the TL Form: C771803
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: 05/17/2022
Date that the sample was received by the laboratory/organization performing the testing: 05/25/2022
The quantity of what the sample constitutes: 1 OF 1 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: TALLY OIL INC

Material Information

Emulsion Grade: PMCRS-2h
Lot Number:
Sub Lot:
Test results on following page(s): 3

Test Results

Test 1 of 3

DIME Test ID: 2022-05-17-38-1
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 06/03/2022
Date Tested: 05/26/2022
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:
Test Result Compliance:
Additional Comments When Verified:
How many beakers will be used to conduct the test? 2
Beaker 1 Residue 27.8 %
Beaker 2 Residue 27.8 %
Percentage of residue 28.0 %

Test 2 of 3

DIME Test ID: 2022-05-17-38-2
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,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (916) 227-7302
This test has been superseded on 06/06/2022. The corrected test ID is: 2022-05-17-38-3
Reason: retested

Test 3 of 3

DIME Test ID: 2022-05-17-38-3
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 06/06/2022
Date Tested: 06/03/2022
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:
The test was superseded from test ID: 2022-05-17-38-2
Test Result Compliance: does not comply
Additional Comments When Verified:
How many beakers will be used to conduct the test? 2
Beaker 1 Residue 27.6 %
Beaker 2 Residue 27.4 %
Percentage of residue 28.0 %