Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994788 DEA: 061E5504 EFIS: 0622000064
QA Service Level: 1
DIST-CO-RTE-PM: 06-FRE,FRE/FRE-33,99-44.4/46.8
Work Description:
Location Description:
Contractor Name: Cal Valley Construction
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown
DIME Sample ID: 2023-04-27-53
TL Number from the TL Form: 816411
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: 04/27/2023
Date that the sample was received by the laboratory/organization performing the testing: 05/02/2023
The quantity of what the sample constitutes: 1 of 1
A brief description of the sample: ss-1h
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Talley Oil - Madera
DIME Test ID: 2023-04-27-53-1
Test Method: AASHTO T59-22: 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,
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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40.4 %
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Beaker 2 Residue
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40.4 %
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Percentage of residue
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40 %
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