Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993603 DEA: 051N7004 EFIS: 0521000081
QA Service Level: 1
DIST-CO-RTE-PM: 05-SLO-166-16.0/21.0
Work Description: PARTIAL DEPTH RECYCLING AND OVERLAY WITH RHMA (GAP GRADED).
Location Description: SAN LUIS OBISPO COUNTY ABOUT 8 MILES EAST OF SANTA MARIA FROM 0.5 MILE WEST OF HUASNA RIVER BRIDGE TO 1.9 MILES WEST OF CUYAMA RIVER BRIDGE.
Contractor Name: PAPICH CONSTRUCTION COMPANY INC.
Contractor Address: Unknown
Resident Engineer: Thomas Petersen Structure Rep.: Unknown
DIME Sample ID: 2022-07-14-63
TL Number from the TL Form: 220714G
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: 07/14/2022
Date that the sample was received by the laboratory/organization performing the testing: 07/20/2022
The quantity of what the sample constitutes: 2 cans
A brief description of the sample: Pass R
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Aregon
DIME Test ID: 2022-07-14-63-1
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 07/25/2022
Date Tested: 07/21/2022
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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64.4 %
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Beaker 2 Residue
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64 %
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Percentage of residue
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64 %
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