Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 995018 DEA: 09392204 EFIS: 0922000038
QA Service Level: 1
DIST-CO-RTE-PM: 09---
Work Description:
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown
DIME Sample ID: 2023-06-28-64
TL Number from the TL Form: 993503
Sample Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Quality Assurance
Type of Material: Asphaltic Emulsion
Sample Taken Date: 06/28/2023
Date that the sample was received by the laboratory/organization performing the testing: 08/09/2023
The quantity of what the sample constitutes: 1 Jar of 2
A brief description of the sample: 1 Jar
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: VSS Emultech
DIME Test ID: 2023-06-28-64-1
Test Method: AASHTO T59-22: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 08/15/2023
Date Tested: 08/14/2023
Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Organization Address: 5900 Folsom Boulevard, Room 225,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (916) 227-7302
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
|
How many beakers will be used to conduct the test?
|
2
|
|
Beaker 1 Residue
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67.6 %
|
|
Beaker 2 Residue
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68.4 %
|
|
Percentage of residue
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68 %
|
