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Sample Record for 2022-06-20-14

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

Project Information

Project ID: 993480 DEA: 032G3904 EFIS: 0321000120 QA Service Level: 1
DIST-CO-RTE-PM: 03-SAC-51-4.7/5.2,5.9/8.8
Work Description: COLD PLANE AC PAVEMENT, PLACE HMA AND REPLACE CONCRETE SLABS.
Location Description: SACRAMENTO COUNTY IN AND NEAR SACRAMENTO FROM EL CAMINO AVENUE OVERCROSSING TO 0.4 MILE SOUTH OF MARCONI AVENUE OVERCROSSING AND FROM 0.4 MILE NORTH OF MARCONI AVENUE OVERCROSSING TO ROUTE 80, 51/244 SEPARATION
Contractor Name: A. TEICHERT & SON INC. DBA TEICHERT CONSTRUCTION
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2022-06-20-14
TL Number from the TL Form: 000000
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: 06/20/2022
Date that the sample was received by the laboratory/organization performing the testing: 06/21/2022
The quantity of what the sample constitutes: 1 of 1 bottle
A brief description of the sample: Tack Coat Oil
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 on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2022-06-20-14-1
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 06/23/2022
Date Tested: 06/23/2022
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? 4
Beaker 1 Residue 48.0 %
Beaker 2 Residue 48.0 %
Beaker 3 Residue 48.4 %
Beaker 4 Residue 48.4 %
Percentage of residue 48.0 %