Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214919 DEA: 060U4504 EFIS: 0615000298
QA Service Level: 1
DIST-CO-RTE-PM: 06-FRE-168-18.6/T25.5
Work Description: COLD PLANE AC PAVEMENT AND HOT MIX ASPHALT RESURFACING.
Location Description: FRESNO COUNTY NEAR PRATHER FROM 0.1 MILE EAST OF SAMPLE ROAD TO OAK CREEK ROAD
Contractor Name: Cal Valley Construction
Contractor Address: 5125 N. Gates Ave., Ste. 102, Fresno, CA, 93722-6414
Resident Engineer: Mark Mengoni Structure Rep.: Raman Guraya
DIME Sample ID: 2021-09-19-1
TL Number from the TL Form: c027552
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: 09/19/2021
Date that the sample was received by the laboratory/organization performing the testing: 09/24/2021
The quantity of what the sample constitutes: 1 jug
A brief description of the sample: BWE
From where was the sample collected: Distributor
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Western Emulsion Irwindale
DIME Test ID: 2021-09-19-1-1
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 09/27/2021
Date Tested: 09/27/2021
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: Per 2018 Standard Specifications
Test Result Compliance: does not comply
Additional Comments When Verified: failed
How many beakers will be used to conduct the test?
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2
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Beaker 1 Residue
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62.2 %
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Beaker 2 Residue
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62.4 %
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Percentage of residue
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62.0 %
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