Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 995236 DEA: 060U2904 EFIS: 0616000001
QA Service Level: 1
DIST-CO-RTE-PM: 06-KER-184-1.1/8.3
Work Description: COLD PLANE & OVERLAY WITH HMA/RHMA, CONSTRUCT SIDEWALKS & CURB RAMPS.
Location Description: KERN COUNTY NEAR BAKERSFIELD FROM WHARTON AVENUE TO EDISON HIGHWAY
Contractor Name: Griffith Company (Austin Fitch)
Contractor Address: 1128 Carrier Parkway Avenue, Bakersfield, ca 93308
Resident Engineer: Mandeep Chahal Structure Rep.: Vicente Sanchez
DIME Sample ID: 2026-08-17-65
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: 08/17/2026
Date that the sample was received by the laboratory/organization performing the testing: 08/25/2026
The quantity of what the sample constitutes: 1 JUG OF SS-1H
A brief description of the sample: SS-1H
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: VSS Emultech
DIME Test ID: 2026-08-17-65-1
Test Method: AASHTO T59-25: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 08/31/2026
Date Tested: 08/28/2026
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: not applicable
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 %
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Beaker 2 Residue
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39.8 %
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Percentage of residue
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40 %
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