Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994509 DEA: 101R4004 EFIS: 1023000140
QA Service Level: 1
DIST-CO-RTE-PM: 10-MER,MER/MER-5,59,152-22.6/32.5
Work Description:
Location Description:
Contractor Name: George Reed
Contractor Address: P.O. Box 4760, Modesto, CA 95352
Resident Engineer: Tofael Anwar Structure Rep.: Unknown
DIME Sample ID: 2023-04-20-60
TL Number from the TL Form: 731289
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: 04/20/2023
Date that the sample was received by the laboratory/organization performing the testing: 05/03/2023
The quantity of what the sample constitutes: 1 of 1 can
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: VSS Emultech
DIME Test ID: 2023-04-20-60-1
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 05/05/2023
Date Tested: 05/04/2023
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: evap
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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63.2 %
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Beaker 2 Residue
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63.6 %
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Percentage of residue
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63 %
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