Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994556 DEA: 032G7604 EFIS: 0322000155
QA Service Level: 1
DIST-CO-RTE-PM: 03-BUT-162-22.7/26.9,30.1/31.1
Work Description: HMA (TYPE A), ROADWAY EXCAVATION, AND CLASS 2 AB.
Location Description: BUTTE COUNTY 4.7 MILES EAST OF OROVILLE FROM SADDLE DRIVE TO MIDDLE FORK FEATHER RIVER BRIDGE AND FROM CANYON CREEK BRIDGE TO FOREMAN CREEK ROAD
Contractor Name: BALDWIN CONTRACTING COMPANY, INC. DBA KNIFE RIVER CONSTRUCTION
Contractor Address: 1764 SKYWAY ROAD, CHICO, CA 95928
Resident Engineer: Michael Mattson Structure Rep.: Unknown
DIME Sample ID: 2023-08-07-33
TL Number from the TL Form: 778712
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: 08/07/2023
Date that the sample was received by the laboratory/organization performing the testing: 08/08/2023
The quantity of what the sample constitutes: 1 of 1 can
A brief description of the sample: CQS-1H
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: 2023-08-07-33-1
Test Method: AASHTO T59-22: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 08/09/2023
Date Tested: 08/09/2023
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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33.4 %
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Beaker 2 Residue
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33.4 %
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Percentage of residue
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33 %
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