Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 215374 DEA: 060X2704 EFIS: 0618000048
QA Service Level: 1
DIST-CO-RTE-PM: 06-FRE-5-37.2/48.8
Work Description: PAVEMENT REHABILITATION
Location Description: FROM 1.9 MILES NORTH OF THREE ROCKS ROAD UC TO 0.2 MILES SOUTH OF PANOCHE ROAD OC
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 2716 Granite Court, Fresno, CA 93706
Resident Engineer: Cary Cruz Structure Rep.: Unknown
DIME Sample ID: 2022-08-02-46
TL Number from the TL Form: 040142
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: 08/02/2022
Date that the sample was received by the laboratory/organization performing the testing: 08/04/2022
The quantity of what the sample constitutes: 2 jars
A brief description of the sample: ss1h
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Talley Oil Madera
DIME Test ID: 2022-08-02-46-1
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 08/09/2022
Date Tested: 08/08/2022
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:
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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42.0 %
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Beaker 2 Residue
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42.2 %
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Beaker 3 Residue
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42.4 %
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Beaker 4 Residue
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42.4 %
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Percentage of residue
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42.0 %
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