KINGDOM OF SAUDI ARABIA

MINISTRY OF COMMUNICATIONS
MATERIALS AND RESEARCH
DEPARTMENT

Emulsified Asphalt
FIELD SAMPLE NO. LAB SAMPLE NO. PROJECT

DATE SAMPLED DATE RECEIVED

ROAD NO.

SAMPLED BY DATE TESTED

ROAD NAME
TITLE TESTED BY
QUANTITY REPRESENTED
MATERIAL TITLE

Line Test Property Unit Test Result Specifications

Composition:
1 Water Content %
2 Residue, Percent by Distillation %
3 Residue, Percent by Evaporation %

4 Particle Charge, Positive, ! Negative

Consistency:
5 Saybolt Universal Viscosity @ _________ C, SSU s
6 Saybolt Furol Viscosity @ _________ C, SSF s
Stability:
7 Demulsibility %
8 Settlement (5 days) %
9 Cement Mixing, Percent Break %
10 Sieve: Sample Retained %
11 Coating: Thoroughly Coated; 95%, Uncoated
12 Uniformly Coated; Yes, No
13 Miscibility: Coagulation; Yes, no
14 Modified Miscibility: Residue Difference %
15 Freezing: Homogeneous, Broken
Coating Ability and Water Resistance:
16
Wet Aggregate; Good, Fair, Poor
Coating Ability and Water Resistance:
17
Dry Aggregate; Good, Fair, Poor
18 Storage Stability %
Examination of Residue:
19 Specific Gravity, _____ / ______C (MRDTM 407)
20 Ash Content %
21 Solubility Matter (MRDTM 402) %
22 Penetration (MRDTM 404) 0.10mm
23 Ductility (MRDTM 405) cm
24 Other (MRDTM ________ )

___________________________________________________________________________________________________________

Remarks:____________________________________________________________________________________________________

CHECKED BY: TITLE DATE _

MATERIALS ENGINEER: ; _
(CONSULTANT) (CONTRACTOR)
RESIDENT ENGINEER:

DISTRIBUTION:
CONTRACTOR MINISTRY

RESIDENT ENGINEER OTHER (Specify) _

Form No. MRDTR 400 C