Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994247 DEA: 051H8604 EFIS: 0517000002
QA Service Level: 1
DIST-CO-RTE-PM: 05-SB-101-46.2/R52.3
Work Description: COLD PLANE AC PVMT, PLACE HMA, RHMA-G, HMA-0, REPLACE MEDIAN BARRIER.
Location Description: SANTA BARBARA COUNTY NEAR GAVIOTA FROM 0.1 MILE NORTH OF GAVIOTA BEACH STATE PARK TO OLD COAST HIGHWAY
Contractor Name: CALPORTLAND COMPANY
Contractor Address: 1625 E DONOVAN RD, SANTA MARIA, CA 93456
Resident Engineer: Jason Torres Structure Rep.: Sal Heredia
DIME Sample ID: 2025-05-07-45
TL Number from the TL Form: 250507B
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: 05/07/2025
Date that the sample was received by the laboratory/organization performing the testing: 05/13/2025
The quantity of what the sample constitutes: 2 jugs
A brief description of the sample: EMULSION
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: VSS Emultech West Sac
DIME Test ID: 2025-05-07-45-1
Test Method: AASHTO T59-22: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 05/13/2025
Date Tested: 05/13/2025
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:
|
How many beakers will be used to conduct the test?
|
2
|
|
Beaker 1 Residue
|
62.2 %
|
|
Beaker 2 Residue
|
62 %
|
|
Percentage of residue
|
62 %
|
