Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 215713 DEA: 060X3104 EFIS: 0618000052
QA Service Level: 1
DIST-CO-RTE-PM: 06-FRE-145-20.3/26.1
Work Description: RESURFACE WITH HMA(TYPE A) AND RHMA-G.
Location Description: FRESNO COUNTY NEAR KERMAN FROM KAMM AVENUE TO MANNING AVENUE
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 2716 Granite Court, Fresno, CA 93706
Resident Engineer: Cary Cruz Structure Rep.: Unknown
DIME Sample ID: 2021-10-07-27
TL Number from the TL Form: c039862
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: 10/07/2021
Date that the sample was received by the laboratory/organization performing the testing: 10/15/2021
The quantity of what the sample constitutes: 1 bottle
A brief description of the sample: SS-1h 70/30
From where was the sample collected: Distributor
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Talley Oil Madera
DIME Test ID: 2021-10-07-27-1
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 10/19/2021
Date Tested: 10/18/2021
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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2
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Beaker 1 Residue
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41.2 %
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Beaker 2 Residue
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41.8 %
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Percentage of residue
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42 %
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