Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 215777 DEA: 032H6304 EFIS: 0317000166
QA Service Level: 1
DIST-CO-RTE-PM: 03-BUT-162-18.4/19.9
Work Description: PLACE RUBBERIZED HMA AND ROADWAY EXCAVATION.
Location Description: BUTTE COUNTY IN AND NEAR OROVILLE FROM FOOTHILL BOULEVARD TO GOLD COUNTRY CASINO ENTRANCE
Contractor Name: DeSilva Gates
Contractor Address: 11555 Dublin Boulevard, Dublin, CA 94568
Resident Engineer: Dwayne Grandy Structure Rep.: Unknown
DIME Sample ID: 2023-08-01-9
TL Number from the TL Form: C 778704
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: 08/01/2023
Date that the sample was received by the laboratory/organization performing the testing: 08/01/2023
The quantity of what the sample constitutes: 2 of 2 cans
A brief description of the sample: PMCRS-2h 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: 2023-08-01-9-1
Test Method: AASHTO T59-22: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 08/03/2023
Date Tested: 08/02/2023
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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68.2 %
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Beaker 2 Residue
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68 %
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Percentage of residue
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68 %
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