Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000007 DEA: 061F8304 EFIS: 0623000101
QA Service Level: 1
DIST-CO-RTE-PM: 06-FRE-180-43.5/53.6
Work Description: COLD PLANE AC PAVEMENT, RHMA-G (BWC) AND HMA (TYPE A).
Location Description: FRESNO COUNTY NEAR KERMAN FROM GOLDENROD AVENUE TO BRAWLEY AVENUE
Contractor Name: CAL VALLEY CONSTRUCTION, INC.
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown
DIME Sample ID: 2024-09-25-82
TL Number from the TL Form: 00000
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: 09/25/2024
Date that the sample was received by the laboratory/organization performing the testing: 10/04/2024
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: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: TALLEY OIL INC
DIME Test ID: 2024-09-25-82-1
Test Method: AASHTO T59-22: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 10/08/2024
Date Tested: 10/07/2024
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:
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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39.2 %
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Beaker 2 Residue
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39.8 %
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Percentage of residue
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40 %
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