Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994388 DEA: 023J8004 EFIS: 0222000085
QA Service Level: 1
DIST-CO-RTE-PM: 02-TRI-3-11.0/R26.3,38.0/42.0
Work Description: PLACE AR CHIP SEAL WITH REPLACE ASPHALT CONCRETE SURFACING.
Location Description: TRINITY COUNTY NEAR HAYFORK FROM 0.7 MILE SOUTH OF WILDWOOD ROAD TO BROWNS CREEK BRIDGE NO. 05-0037 AND NEAR WEAVERVILLE FROM 0.1 MILE NORTH OF RUSH CREEK ROAD TO 0.5 MILE SOUTH OF TANNERY GULCH ROAD
Contractor Name: VSS INTERNATIONAL INC.
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown
DIME Sample ID: 2023-07-20-44
TL Number from the TL Form: C815637
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: 07/20/2023
Date that the sample was received by the laboratory/organization performing the testing: 07/27/2023
The quantity of what the sample constitutes: 1 of 1
A brief description of the sample: EMULSION
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: 2023-07-20-44-1
Test Method: AASHTO T59-22: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 07/31/2023
Date Tested: 07/30/2023
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: if SS1H is pure (100%), it does not meet minimum of 57%, TL101 lacks residue details. Also, sample submitted in wrong container.
Test Result Compliance:
Additional Comments When Verified:
|
How many beakers will be used to conduct the test?
|
2
|
|
Beaker 1 Residue
|
30 %
|
|
Beaker 2 Residue
|
30.2 %
|
|
Percentage of residue
|
30 %
|