Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214834 DEA: 010G1304 EFIS: 0116000128
QA Service Level: 1
DIST-CO-RTE-PM: 01-DN-199-10.2/10.7
Work Description: PLACE HMA AND HIGH FRICTION SURFACE TREATMENT.
Location Description: DEL NORTE COUNTY NEAR GASQUET FROM 0.7 MILE TO 0.3 MILE SOUTH OF HARDSCRABBLE CREEK BRIDGE
Contractor Name: S.T.RHOADES CONSTRUCTION, INC.
Contractor Address: 8585 COMMERCIAL WAY, REDDING CA 96002
Resident Engineer: Karen Sanders Structure Rep.: Unknown
DIME Sample ID: 2020-09-02-11
TL Number from the TL Form: 944528
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: 09/02/2020
Date that the sample was received by the laboratory/organization performing the testing: 09/10/2020
The quantity of what the sample constitutes: 1 gallon can
A brief description of the sample: CSS -1 tack coat
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: S T Rhoades
DIME Test ID: 2020-09-02-11-1
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Residue and Oil Distillate (Sec. 6))
Verified Date: 09/11/2020
Date Tested: 09/11/2020
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:
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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56.1 %
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