Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000147 DEA: 101Q7604 EFIS: 1023000062
QA Service Level: 1
DIST-CO-RTE-PM: 10-AMA-104,124-Var
Work Description: COLD PLANE ASPHALT CONCRETE PAVEMENT AND RESURFACE WITH HMA AND RHMA.
Location Description: AMADOR COUNTY IN AND NEAR IONE AT VARIOUS LOCATIONS
Contractor Name: GEORGE REED, INC.
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown
DIME Sample ID: 2024-10-10-10
TL Number from the TL Form: 1q7604a
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: 10/10/2024
Date that the sample was received by the laboratory/organization performing the testing: 10/10/2024
The quantity of what the sample constitutes: i can of emulsion
A brief description of the sample: phcqs-1h
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: VSS Emultech
DIME Test ID: 2024-10-10-10-1
Test Method: AASHTO T59-22: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 10/14/2024
Date Tested: 10/14/2024
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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63.2 %
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Beaker 2 Residue
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63.2 %
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Percentage of residue
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63 %
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