Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000909 DEA: 051R7304 EFIS: 0524000112
QA Service Level: 1
DIST-CO-RTE-PM: 05-SB-135-R7.2/M9.7
Work Description: PARTIAL DEPTH RECYCLING AND RHMA-G OVERLAY.
Location Description: SANTA BARBARA COUNTY ABOUT 7 MILES NORTH OF LOS ALAMOS FROM SAN ANTONIO CREEK BRIDGE TO SAN ANTONIO ROAD
Contractor Name: CALPORTLAND CONSTRUCTION
Contractor Address: 1624 East Donovan Road, Santa Maria CA
Resident Engineer: Jason Torres Structure Rep.: Unknown
DIME Sample ID: 2025-08-19-52
TL Number from the TL Form:
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: 08/19/2025
Date that the sample was received by the laboratory/organization performing the testing: 08/26/2025
The quantity of what the sample constitutes: 2 jugs
A brief description of the sample: Asphalt emulsion 1:1
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: unknwon
DIME Test ID: 2025-08-19-52-1
Test Method: AASHTO T59-22: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 10/08/2025
Date Tested: 10/07/2025
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:
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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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32 %
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Beaker 2 Residue
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32.2 %
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Percentage of residue
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32 %
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