Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1002237 DEA: 101S6304 EFIS: 1024000104
QA Service Level: 1
DIST-CO-RTE-PM: 10-MER-99-12.0/36.1
Work Description: Cold plane, HMA (Type A), and modify traffic monitoring stations.
Location Description: FOR CONSTRUCTION ON STATE HIGHWAY IN MERCED COUNTY IN AND NEAR MERCED AND LIVINGSTON AT VARIOUS LOCATIONS FROM 0.3 MILE NORTH OF MISSION AVENUE OVERCROSSING TO 0.5 MILE NORTH OF BRADBURY ROAD OVERCROSSING
Contractor Name: BAY CITIES PAVING & GRADING
Contractor Address: 1450 CIVIC CT, BLDG B #400, CONCORD, CA 94520
Resident Engineer: Richard Poythress Structure Rep.: Unknown
DIME Sample ID: 2026-07-26-11
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: 07/26/2026
Date that the sample was received by the laboratory/organization performing the testing: 07/29/2026
The quantity of what the sample constitutes: 1, 1/2 gal
A brief description of the sample: 1, 1/2 gal SS-1H
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Pacific Northwest Oil - Stockton, CA
DIME Test ID: 2026-07-26-11-1
Test Method: AASHTO T59-25: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 07/30/2026
Date Tested: 07/30/2026
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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57.8 %
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Beaker 2 Residue
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57.8 %
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Percentage of residue
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58 %
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