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Sample Record for 2021-04-17-1

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Project Information

Project ID: 213406 DEA: 030F2504 EFIS: 0300000075 QA Service Level: 1
DIST-CO-RTE-PM: 03-YOL,SAC-80-R11.1/R11.7,M0.0/M0.5
Work Description: SAC RIVER BOH (BRYTE BEND)
Location Description: SACRAMENTO AND YOLO COUNTIES IN WEST SACRAMENTO AND SACRAMENTO FROM 0.1 MILE WEST OF REED AVENUE UNDERCROSSING TO 0.1 MILE EAST OF SACRAMENTO RIVER BRIDGE AND OVERHEAD
Contractor Name: AMERICAN CIVIL CONSTRUCTORS WEST COAST LLC
Contractor Address: 3701 Mallard Drive, Benicia, CA 94510
Resident Engineer: Ephrem Teweldeberhan Structure Rep.: Brent Bullard

Sample Information

DIME Sample ID: 2021-04-17-1
TL Number from the TL Form: 783756
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: 04/17/2021
Date that the sample was received by the laboratory/organization performing the testing: 04/19/2021
The quantity of what the sample constitutes: 1of1
A brief description of the sample: EMULSION
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: 2021-04-17-1-1
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 04/19/2021
Date Tested: 04/19/2021
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:
Additional Comments When Verified:
How many beakers will be used to conduct the test? 4
Beaker 1 Residue 59.8 %
Beaker 2 Residue 60.0 %
Beaker 3 Residue 60.4 %
Beaker 4 Residue 59.8 %
Percentage of residue 60.0 %