Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 995239 DEA: 060W9104 EFIS: 0618000011
QA Service Level: 1
DIST-CO-RTE-PM: 06-TUL-99-27.6/30.6
Work Description: HMA, RHMA-G, JOINTED PLAIN CONC PVMT (RSC) AND STBB (TYPE M).
Location Description: TULARE COUNTY IN AND NEAR TULARE FROM PAIGE AVENUE OVERCROSSING TO PROSPERITY AVENUE OVERCROSSING.
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: Unknown
Resident Engineer: Amir Zamanian Structure Rep.: Albert Heredia
DIME Sample ID: 2025-09-22-65
TL Number from the TL Form: 00000
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: 09/22/2025
Date that the sample was received by the laboratory/organization performing the testing: 10/29/2025
The quantity of what the sample constitutes: 1 jug
A brief description of the sample: SS-1h 1 jar 70/30
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Talley Oil - Madera
DIME Test ID: 2025-09-22-65-1
Test Method: AASHTO T59-22: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 11/03/2025
Date Tested: 11/03/2025
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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40.6 %
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Beaker 2 Residue
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40.8 %
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Percentage of residue
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41 %
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