Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1002275 DEA: 101U0804 EFIS: 1025000090
QA Service Level: 1
DIST-CO-RTE-PM: 10-MER-33-10-Mer-33-17.4/26.5
Work Description: FOR CONSTRUCTION ON STATE HIGHWAY IN MERCED COUNTY AT AND NEAR SANTA NELLA FROM 0.1 MILE NORTH OF MCCABE ROAD TO THE INTERSECTION OF SULLIVAN ROAD AND ROUTE 33
Location Description: In District 10 On Route 33
Contractor Name: George Reed
Contractor Address: 1200 Scenic Dr., Suite 200, Modesto, CA 95350
Resident Engineer: Jagga Dhami Structure Rep.: Unknown
DIME Sample ID: 2026-09-13-6
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: 09/13/2026
Date that the sample was received by the laboratory/organization performing the testing: 09/16/2026
The quantity of what the sample constitutes: 1 jug of ss-1h
A brief description of the sample: ss-1h 100%
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: VSS Emultech West Sac
DIME Test ID: 2026-09-13-6-1
Test Method: AASHTO T59-25: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 09/18/2026
Date Tested: 09/17/2026
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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63.4 %
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Beaker 2 Residue
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63.6 %
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Percentage of residue
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64 %
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