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Sample Record for 2023-07-19-29

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

Project Information

Project ID: 215420 DEA: 060R2104 EFIS: 0614000058 QA Service Level: 1
DIST-CO-RTE-PM: 06-MAD-41-6.2/9.2
Work Description: FOR CONSTRUCTION ON STATE HIGHWAY IN MADERA COUNTY NEAR MADERA FROM 0.1 MILE NORTH OF AVENUE 15 TO 2.2 MILES NORTH OF FRIANT MADERA CANAL BRIDGE
Location Description: MADERA COUNTY NEAR MADERA FROM 0.1 MILE NORTH OF AVENUE 15 TO 2.2 MILES NORTH OF FRIANT MADERA CANAL BRIDGE
Contractor Name: CAL VALLEY CONSTRUCTION
Contractor Address: 5125 N. Gates Ave, Ste 102, Fresno, CA 93722
Resident Engineer: Ryan Wilson Structure Rep.: Ramandeep Guraya

Sample Information

DIME Sample ID: 2023-07-19-29
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: Department Acceptance
Type of Material: Asphaltic Emulsion
Sample Taken Date: 07/19/2023
Date that the sample was received by the laboratory/organization performing the testing: 07/24/2023
The quantity of what the sample constitutes: 1 jar
A brief description of the sample: SS-1h 1 jar emulsion
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: VSS Emultech

Material Information

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

Test Results

Test 1 of 2

DIME Test ID: 2023-07-19-29-1
Test Method: AASHTO T59-22: 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This test has been superseded on 07/27/2023. The corrected test ID is: 2023-07-19-29-2
Reason: retested

Test 2 of 2

DIME Test ID: 2023-07-19-29-2
Test Method: AASHTO T59-22: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 07/27/2023
Date Tested: 07/26/2023
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: 80/20 DILUTED
The test was superseded from test ID: 2023-07-19-29-1
Test Result Compliance: complies
Additional Comments When Verified:
How many beakers will be used to conduct the test? 4
Beaker 1 Residue 54.0 %
Beaker 2 Residue 54.0 %
Beaker 3 Residue 53.8 %
Beaker 4 Residue 54.0 %
Percentage of residue 54 %