Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1002246 DEA: 061H9904 EFIS: 0625000107
QA Service Level: 1
DIST-CO-RTE-PM: 06-TUL-65-0.0/6.9
Work Description: Cold plane and RHMA-G with various HMA dig outs.
Location Description: FOR CONSTRUCTION ON STATE HIGHWAY IN TULARE COUNTY NEAR DELANO FROM KERN COUNTY LINE TO 0.1 MILE SOUTH OF AVENUE 56.
Contractor Name: Granite Construction (Jorge Velazquez)
Contractor Address: Unknown
Resident Engineer: Cesar Mandujano Structure Rep.: None None
DIME Sample ID: 2026-06-09-20
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: 06/09/2026
Date that the sample was received by the laboratory/organization performing the testing: 06/12/2026
The quantity of what the sample constitutes: 1 jug ss-1h
A brief description of the sample: 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: 2026-06-09-20-1
Test Method: AASHTO T59-25: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 06/17/2026
Date Tested: 06/16/2026
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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40.8 %
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Beaker 2 Residue
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41.6 %
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Percentage of residue
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41 %
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