Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 213583 DEA: 060H2004 EFIS: 0612000157
QA Service Level: 1
DIST-CO-RTE-PM: 06-TUL-201,216-12.5,21.2,18.7
Work Description: BRIDGE WIDENING, UPGRADE LANES AND OUTSIDE SHOULDERS.
Location Description: TULARE COUNTY NEAR CUTLER ON ROUTE 201 AT SAND CREEK BRIDGE AND AT FRIANT KERN CANAL BRIDGE AND NEAR WOODLAKE ON ROUTE 216 AT KAWEAH RIVER BRIDGE
Contractor Name: VIKING CONSTRUCTION COMPANY, INC.
Contractor Address: P.O. Box 1508, Rancho Cordova, CA 95741
Resident Engineer: Donald Hiura Structure Rep.: Peter Moua
DIME Sample ID: 2020-09-30-18
TL Number from the TL Form: 039578
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: 09/30/2020
Date that the sample was received by the laboratory/organization performing the testing: 10/08/2020
The quantity of what the sample constitutes: 1 jar
A brief description of the sample: Tack Coat
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Western Refining
DIME Test ID: 2020-09-30-18-1
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 10/12/2020
Date Tested: 10/09/2020
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:
How many beakers will be used to conduct the test?
|
4
|
Beaker 1 Residue
|
56.6 %
|
Beaker 2 Residue
|
56.8 %
|
Beaker 3 Residue
|
56.6 %
|
Beaker 4 Residue
|
56.8 %
|
Percentage of residue
|
56.7 %
|