Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1001063 DEA: 033G3804 EFIS: 0324000122
QA Service Level: 1
DIST-CO-RTE-PM: 03-BUT-32-R23.9/30.8,31.0/31.6
Work Description: HMA OVERLAY, COLD PLANE, AND REMOVE & REPLACE PVMT DELINEATION.
Location Description: BUTTE COUNTY NEAR CHICO FROM NOPEL AVENUE TO 1.3 MILES WEST OF CARPENTER RIDGE ROAD AND FROM 1.1 MILES WEST OF CARPENTER RIDGE ROAD TO 0.5 MILE WEST OF CARPENTER RIDGE ROAD
Contractor Name: LAMON CONSTRUCTION CO., INC.
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown
DIME Sample ID: 2025-09-09-50
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: 09/09/2025
Date that the sample was received by the laboratory/organization performing the testing: 09/12/2025
The quantity of what the sample constitutes: 1 jug
A brief description of the sample: SS1H 80/20
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Valero
DIME Test ID: 2025-09-09-50-1
Test Method: AASHTO T59-22: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 09/16/2025
Date Tested: 09/15/2025
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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49 %
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Beaker 2 Residue
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48.4 %
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Percentage of residue
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49 %
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