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Sample Record for 2020-05-01-17

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Project Information

Project ID: 214520 DEA: 051H9804 EFIS: 0517000043 QA Service Level: 1
DIST-CO-RTE-PM: 05-SB-101-78.4/79.0
Work Description: ROADWAY EXCAVATION, PLACE AGGREGATE BASE, HMA AND RHMA-G.
Location Description: SANTA BARBARA COUNTY NEAR SANTA MARIA FROM 0.3 MILE SOUTH TO 0.3 MILE NORTH OF SOLOMON SUMMIT UNDERCROSSING
Contractor Name: Calportland Construction
Contractor Address: 1625 E DONOVAN RD, SANTA MARIA
Resident Engineer: Lilian (Poh Chu) Bennetzen Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-05-01-17
TL Number from the TL Form: C200507A2
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: 05/01/2020
Date that the sample was received by the laboratory/organization performing the testing: 05/13/2020
The quantity of what the sample constitutes: 1
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: NL

Material Information

Emulsion Grade: SS-1h
Lot Number: 1
Sub Lot: 1

Test Results

Test 1 of 2

DIME Test ID: 2020-05-01-17-1
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Residue and Oil Distillate (Sec. 6))
Verified Date: 05/20/2020
Date Tested: 05/18/2020
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:
What parameters are being calculated? Percentage of oil residue
Is this a polymer-modified emulsion Yes
Percentage of oil residue 60.3 %

Test 2 of 2

DIME Test ID: 2020-05-01-17-2
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Residue and Oil Distillate (Sec. 6))
Verified Date: 05/19/2020
Date Tested: 05/19/2020
Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt 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:
What parameters are being calculated? Percentage of oil residue
Is this a polymer-modified emulsion Yes
Percentage of oil residue 60.3 %