Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993482 DEA: 060V2804 EFIS: 0616000124
QA Service Level: 1
DIST-CO-RTE-PM: 06-KER-184-L0.9/L1.1
Work Description: PLACE HMA AND MINOR CONCRETE, REPLACE ELECTRICAL & LIGHTING SYSTEMS.
Location Description: KERN COUNTY NEAR LAMONT FROM 0.1 MILE SOUTH TO 0.1 MILE NORTH OF SUNSET BOULEVARD
Contractor Name: Griffith Company
Contractor Address: 1128 Carrier Parkway, Bakersfield ,CA 93308
Resident Engineer: Jose Quiroz Structure Rep.: Unknown
DIME Sample ID: 2023-05-11-46
TL Number from the TL Form:
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: 05/11/2023
Date that the sample was received by the laboratory/organization performing the testing: 05/15/2023
The quantity of what the sample constitutes: 1 bottle of emulsion
A brief description of the sample: Emulsion
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: USS Emultech
DIME Test ID: 2023-05-11-46-1
Test Method: AASHTO T59-22: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 05/19/2023
Date Tested: 05/18/2023
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: Original
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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43.4 %
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Beaker 2 Residue
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43.2 %
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Percentage of residue
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43 %
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