Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214587 DEA: 101J1604 EFIS: 1018000180
QA Service Level: 1
DIST-CO-RTE-PM: 10-STA-132-27.9/41.0
Work Description: COLD PLANE AC PAVEMENT, RHMA OVERLAY AND SLURRY SEAL.
Location Description: STANISLAUS COUNTY IN AND NEAR WATERFORD FROM G STREET TO 1.2 MILES EAST OF RUSHING ROAD
Contractor Name: George Reed
Contractor Address: PO Box, Greenwood, CA 95635
Resident Engineer: Ranbir Bhullar Structure Rep.: Unknown
DIME Sample ID: 2020-05-20-5
TL Number from the TL Form: 892276
Sample Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Department Acceptance
Type of Material: Asphaltic Emulsion
Sample Taken Date: 05/20/2020
Date that the sample was received by the laboratory/organization performing the testing: 05/22/2020
The quantity of what the sample constitutes: 1 bottle
A brief description of the sample: EMULSION
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: 2020-05-20-5-1
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Residue and Oil Distillate (Sec. 6))
Verified Date: 06/08/2020
Date Tested: 06/08/2020
Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Organization Address: 5900 Folsom Boulevard, Room 225,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (916) 227-7302
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
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What parameters are being calculated?
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Percentage of oil residue
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Is this a polymer-modified emulsion
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No
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Percentage of oil residue
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58.3 %
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