Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994309 DEA: 033H5404 EFIS: 0318000012
QA Service Level: 1
DIST-CO-RTE-PM: 03-BUT-70-46.0/47.0
Work Description: RAISE ALIGNMENT, PLACE HMA, STRUCTURAL CONCRETE & BRIDGE RAIL.
Location Description: BUTTE COUNTY NEAR PARADISE FROM 0.8 MILE WEST OF SHADY REST AREA TO 0.2 MILE EAST OF SHADY REST AREA
Contractor Name: VIKING CONSTRUCTION COMPANY, INC.
Contractor Address: 11315 SUNRISE GOLD CIR. #A, RANCHO CORDOVA CA 95742
Resident Engineer: Daniel Rechs Structure Rep.: Adam Scardaci
DIME Sample ID: 2025-06-11-43
TL Number from the TL Form: 801931
Sample Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Informational
Type of Material: Asphaltic Emulsion
Sample Taken Date: 06/11/2025
Date that the sample was received by the laboratory/organization performing the testing: 06/13/2025
The quantity of what the sample constitutes: 1 Jug
A brief description of the sample: SS-1H
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Pacific Northwest Oil
DIME Test ID: 2025-06-11-43-1
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 06/17/2025
Date Tested: 06/17/2025
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: Evaporation
Test Result Compliance:
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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58.8 %
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Beaker 2 Residue
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58.8 %
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Percentage of residue
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59 %
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