Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 995055 DEA: 024H0504 EFIS: 0218000080
QA Service Level: 1
DIST-CO-RTE-PM: 02-SHA-273,299-18.5/18.7,24.1/30.3
Work Description: PLACE RHMA, HMA, MINOR CONCRETE, AND REPLACE AC SURFACING.
Location Description: SHASTA COUNTY IN AND NEAR REDDING ON ROUTE 273 FROM 0.5 MILE NORTH OF SULPHUR CREEK BRIDGE TO 0.2 MILE SOUTH OF TWIN VIEW BOULEVARD AND ON ROUTE 299 FROM 0.2 MILE WEST OF HILLTOP DRIVE TO 0.1 MILE EAST OF HOOTENANNY LANE
Contractor Name: TULLIS, INC.
Contractor Address: 16951 Clear Creek Road, Redding, CA 96001
Resident Engineer: Nathan Alexander Structure Rep.: Nicolas Jimenez
DIME Sample ID: 2024-09-20-55
TL Number from the TL Form:
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: 09/20/2024
Date that the sample was received by the laboratory/organization performing the testing: 09/27/2024
The quantity of what the sample constitutes: 2 OF 2 JUGS
A brief description of the sample: BWE
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: WESTER EMULSION
DIME Test ID: 2024-09-20-55-1
Test Method: AASHTO T59-22: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 10/01/2024
Date Tested: 09/30/2024
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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64.6 %
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Beaker 2 Residue
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65 %
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Percentage of residue
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65 %
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