Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1001439 DEA: 061A7604 EFIS: 0621000015 COOP: NONE
QA Service Level: 1
DIST-CO-RTE-PM: 06-KER-46-51.4/R57.9
Work Description: COLD PLANE AC PAVEMENT, RHMA OVERLAY, CONC. BARRIER AND RUMBLE STRIPS.
Location Description: KERN COUNTY IN AND NEAR WASCO FROM 0.20 MILE EAST OF ROUTE 43 TO 0.30 MILE EAST OF ROUTE 46/99 SEPARATION
Contractor Name: Granite Construction
Contractor Address: 3005 James Road, Bakersfield, CA 93308
Resident Engineer: Alejandro Ruezga Structure Rep.: Ivan Cruz
DIME Sample ID: 2026-06-03-63
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: 06/03/2026
Date that the sample was received by the laboratory/organization performing the testing: 06/08/2026
The quantity of what the sample constitutes: 1 bottle of emulsion
A brief description of the sample: 1 bottle of emulsion
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Centennial Asphalt Bakersfield
DIME Test ID: 2026-06-03-63-1
Test Method: AASHTO T59-25: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 06/10/2026
Date Tested: 06/10/2026
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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40.4 %
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Beaker 2 Residue
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40.4 %
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Percentage of residue
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40 %
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