Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1002653 DEA: 061H9504 EFIS: 0625000103
QA Service Level: 1
DIST-CO-RTE-PM: 06-KER-99-0.0/10.8
Work Description:
Location Description:
Contractor Name: Granite Construction Company (Anthony Abad)
Contractor Address: Unknown
Resident Engineer: Amrit Brar Structure Rep.: None None
DIME Sample ID: 2026-10-01-48
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: 10/01/2026
Date that the sample was received by the laboratory/organization performing the testing: 10/12/2026
The quantity of what the sample constitutes: 1 JUG OF SS-1H EMULSION
A brief description of the sample: SS-1H EMULSION
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Centennial Asphalt Bakersfield
DIME Test ID: 2026-10-01-48-1
Test Method: AASHTO T59-25: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 10/13/2026
Date Tested: 10/13/2026
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: not applicable
Additional Comments When Verified:
|
How many beakers will be used to conduct the test?
|
2
|
|
Beaker 1 Residue
|
43.8 %
|
|
Beaker 2 Residue
|
43.8 %
|
|
Percentage of residue
|
44 %
|
