Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993331 DEA: 023H6904 EFIS: 0218000010
QA Service Level: 1
DIST-CO-RTE-PM: 02-PLU-89-30/R42.1
Work Description: ALMANOR WEST REHAB - ROADWAY REHABILITATION
Location Description: IN PLUMAS COUNTY NEAR CANYON DAM FROM LAKE ALMANOR SPILLWAY TO ROUTE 36.
Contractor Name: DIG IT CONSTRUCTION, INC.
Contractor Address: Unknown
Resident Engineer: Sergio Mendoza Structure Rep.: Unknown
DIME Sample ID: 2026-08-05-54
TL Number from the TL Form: 845928
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: 08/05/2026
Date that the sample was received by the laboratory/organization performing the testing: 08/12/2026
The quantity of what the sample constitutes: 1 gallon bottle
A brief description of the sample: CQS-1H
From where was the sample collected: Supplier
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Dig it Construction
DIME Test ID: 2026-08-05-54-1
Test Method: AASHTO T59-25: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 08/13/2026
Date Tested: 08/13/2026
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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37.2 %
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Beaker 2 Residue
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37 %
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Percentage of residue
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37 %
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