Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000901 DEA: 061G8004 EFIS: 0624000167
QA Service Level: 1
DIST-CO-RTE-PM: 06-KER-99-R29.4/33.1
Work Description: COLD PLANE AC PAVEMENT, REMOVE CONCRETE PAVEMENT, AND HMA.
Location Description: KERN COUNTY NEAR BAKERSFIELD FROM 0.5 MILE SOUTH OF ROUTE 65/99 SEPARATION TO 0.7 MILE NORTH OF LERDO CANAL BRIDGE
Contractor Name: GRIFFITH COMPANY
Contractor Address: 1128 Carrier Parkway Avenue, Bakersfield, CA 93308
Resident Engineer: Mandeep Chahal Structure Rep.: Unknown
DIME Sample ID: 2025-08-22-63
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: 08/22/2025
Date that the sample was received by the laboratory/organization performing the testing: 09/30/2025
The quantity of what the sample constitutes: 2 jugs
A brief description of the sample: ss1h tack oil 100%
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: VSS Emultech
DIME Test ID: 2025-08-22-63-1
Test Method: AASHTO T59-22: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 10/02/2025
Date Tested: 10/01/2025
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: does not comply
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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28.8 %
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Beaker 2 Residue
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29 %
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Percentage of residue
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29 %
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