Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 213733 DEA: 051C85U4 EFIS: 0518000156
QA Service Level: 1
DIST-CO-RTE-PM: 05-SCR-1-10.2/17.5
Work Description: Santa Cruz 1 CAPM and Bridge Rails
Location Description: SANTA CRUZ COUNTY IN AND NEAR SANTA CRUZ FROM NORTH APTOS UNDERPASS TO JUNCTION ROUTE 9.
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 585 West Beach Street, Watsonville, CA 95076
Resident Engineer: Gareth Gill Structure Rep.: Unknown
DIME Sample ID: 2020-07-29-18
TL Number from the TL Form: 972757
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: 07/29/2020
Date that the sample was received by the laboratory/organization performing the testing: 08/03/2020
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: 2020-07-29-18-1
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Residue and Oil Distillate (Sec. 6))
Verified Date: 08/07/2020
Date Tested: 08/06/2020
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:
|
What parameters are being calculated?
|
Percentage of oil residue
|
|
Is this a polymer-modified emulsion
|
No
|
|
Percentage of oil residue
|
64.1 %
|
