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Sample Record for 2021-06-17-38

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Project Information

Project ID: 215183 DEA: 101C1704 EFIS: 1014000144 QA Service Level: 1
DIST-CO-RTE-PM: 10-MER-99-R12.7/17.8
Work Description: RECONSTRUCT ROADWAY WITH ROADWAY EXCAVATION, PLACE HMA AND CRCP.
Location Description: MERCED COUNTY IN MERCED FROM 0.2 MILE SOUTH OF CHILDS AVENUE OVERCROSSING TO 0.2 MILE SOUTH OF FRANKLIN ROAD OVERCROSSING.
Contractor Name: A. TEICHERT & SON, INC. DBA TEICHERT CONSTRUCTION
Contractor Address: 4533 E. Citron Ave, Fresno, CA 93725
Resident Engineer: Wali Waziri Structure Rep.: George Samuel

Sample Information

DIME Sample ID: 2021-06-17-38
TL Number from the TL Form: c892233
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: 06/17/2021
Date that the sample was received by the laboratory/organization performing the testing: 07/02/2021
The quantity of what the sample constitutes: 1 of 1 jag
A brief description of the sample: Tack Coat Oil
From where was the sample collected: Distributor
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Pacific Northwest Oil - Stockton, CA

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: 2021-06-17-38-1
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 07/06/2021
Date Tested: 07/06/2021
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: complies
Additional Comments When Verified:
How many beakers will be used to conduct the test? 4
Beaker 1 Residue 58.8 %
Beaker 2 Residue 58.8 %
Beaker 3 Residue 58.6 %
Beaker 4 Residue 58.8 %
Percentage of residue 59.0 %