Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993720 DEA: 061E0004 EFIS: 0621000192
QA Service Level: 1
DIST-CO-RTE-PM: 06-FRE-41-R23.7/R24.6
Work Description: COLD PLANE EXISTING PAVEMENT AND REPLACE WITH HMA.
Location Description: FRESNO COUNTY IN FRESNO FROM 0.1 MILE SOUTH OF DIVISADERO STREET OVERCROSSING TO 0.4 MILE NORTH OF BELMONT AVENUE OVERCROSSING
Contractor Name: Agee Construction
Contractor Address: P.O. Box 629, Clovis, CA 93613-0629
Resident Engineer: Fernando De Alba Structure Rep.: Unknown
DIME Sample ID: 2022-08-13-9
TL Number from the TL Form: 026887
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: 08/13/2022
Date that the sample was received by the laboratory/organization performing the testing: 08/17/2022
The quantity of what the sample constitutes: 1 jar
A brief description of the sample: ss1h
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan
DIME Test ID: 2022-08-13-9-1
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 08/19/2022
Date Tested: 08/18/2022
Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (530) 713-6823
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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58.8 %
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Beaker 2 Residue
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58.4 %
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Percentage of residue
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59 %
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