Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 995450 DEA: 09368004 EFIS: 0917000011
QA Service Level: 1
DIST-CO-RTE-PM: 09-MNO-395-91.6/93.4
Work Description: HOT MIX ASPHALT (TYPE A), RAIL ELEMENT WALL, AND ROADWAY EXCAVATION.
Location Description: MONO COUNTY ABOUT 16 MILES NORTH OF BRIDGEPORT FROM BURCHAM FLAT ROAD TO 0.3 MILE SOUTH OF ROUTE 108
Contractor Name: PAPICH CONSTRUCTION COMPANY, INC.
Contractor Address: Unknown
Resident Engineer: raj bharathan Structure Rep.: Unknown
DIME Sample ID: 2024-09-26-55
TL Number from the TL Form: 998451
Sample Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Quality Assurance
Type of Material: Asphaltic Emulsion
Sample Taken Date: 09/26/2024
Date that the sample was received by the laboratory/organization performing the testing: 10/02/2024
The quantity of what the sample constitutes: 1 jug
A brief description of the sample: Pure 100% emulsion
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: 2024-09-26-55-1
Test Method: AASHTO T59-22: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 10/03/2024
Date Tested: 10/03/2024
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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61.6 %
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Beaker 2 Residue
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61.2 %
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Percentage of residue
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61 %
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