Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000113 DEA: 060U5004 EFIS: 0615000300
QA Service Level: 1
DIST-CO-RTE-PM: 06-KER-5-10.2/16.0
Work Description: INDIVIDUAL SLAB REPLACEMENT (RSC), HMA (TYPE A) AND RHMA (GAP GRADED).
Location Description: KERN COUNTY AT AND NEAR WHEELER RIDGE FROM GRAPEVINE UNDERCROSSING TO ROUTE 5/99 SEPARATION
Contractor Name: Security Paving Company, Inc. (TJ Mattivi)
Contractor Address: Unknown
Resident Engineer: Robert Decker Structure Rep.: Albert Heredia
DIME Sample ID: 2025-06-15-7
TL Number from the TL Form: 754958
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: 06/15/2025
Date that the sample was received by the laboratory/organization performing the testing: 06/20/2025
The quantity of what the sample constitutes: 1 Jug
A brief description of the sample: 60/40 SS1-H
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: TALLEY OIL INC Madera
DIME Test ID: 2025-06-15-7-1
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 06/24/2025
Date Tested: 06/23/2025
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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57 %
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Beaker 2 Residue
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56.8 %
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Percentage of residue
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57 %
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