Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 995240 DEA: 060X3804 EFIS: 0618000060
QA Service Level: 1
DIST-CO-RTE-PM: 06-KER-166-0.0/10.2
Work Description: COLD PLANE, PLACE HMA AND CONCRETE PAVEMENT, MODIFY DRAINAGE SYSTEM.
Location Description: KERN COUNTY IN AND NEAR MARICOPA FROM SOUTH JUNCTION ROUTE 33 TO 2.3 MILES WEST OF SAN EMIGDIO CREEK BRIDGE
Contractor Name: Griffith Company
Contractor Address: 1128 Carrier Parkway, Bakersfield ,CA 93308
Resident Engineer: Joy Denny Structure Rep.: Travis Landis
DIME Sample ID: 2024-09-10-64
TL Number from the TL Form: C056242
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: 09/10/2024
Date that the sample was received by the laboratory/organization performing the testing: 09/10/2024
The quantity of what the sample constitutes: 1 OF 1
A brief description of the sample: SS-1H 70/30
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: VSS Emultech
DIME Test ID: 2024-09-10-64-1
Test Method: AASHTO T59-22: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 09/18/2024
Date Tested: 09/18/2024
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: (530) 713-6823
General Comments for this Test: EVAP
Test Result Compliance: complies
Additional Comments When Verified:
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How many beakers will be used to conduct the test?
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2
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Beaker 1 Residue
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41.6 %
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Beaker 2 Residue
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41 %
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Percentage of residue
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41 %
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