Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 215405 DEA: 032G1604 EFIS: 0320000235
QA Service Level: 1
DIST-CO-RTE-PM: 03-YOL-45-0.6/12.9
Work Description: COLD PLANE AC PAVEMENT AND REPLACE WITH HOT MIX ASPHALT.
Location Description: YOLO COUNTY NEAR KNIGHTS LANDING FROM SYCAMORE SLOUGH BRIDGE TO YOLO COUNTY LINE ROAD
Contractor Name: All American Asphalt
Contractor Address: PO Box 635, Live Oaks, CA 95953
Resident Engineer: Luis Pompa Structure Rep.: Unknown
DIME Sample ID: 2021-05-04-10
TL Number from the TL Form: c783773
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: 05/04/2021
Date that the sample was received by the laboratory/organization performing the testing: 05/07/2021
The quantity of what the sample constitutes: 1 of 1 bottle
A brief description of the sample: SS-1h
From where was the sample collected: Distributor
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Pacific Northwest OIl
DIME Test ID: 2021-05-04-10-1
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 05/07/2021
Date Tested: 05/07/2021
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: complies
Additional Comments When Verified:
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How many beakers will be used to conduct the test?
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4
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Beaker 1 Residue
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58.6 %
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Beaker 2 Residue
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58.6 %
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Beaker 3 Residue
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58.8 %
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Beaker 4 Residue
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58.8 %
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Percentage of residue
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58.7 %
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