Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 995087 DEA: 051P5904 EFIS: 0522000086
QA Service Level: 1
DIST-CO-RTE-PM: 05-SCR-1-0.0/5.0
Work Description: Cold plane, RHMA-G
Location Description: Watsonville area, County line to Scenic pullout
Contractor Name: A. TEICHERT & SON, INC. DBA TEICHERT CONSTRUCTION
Contractor Address: 3500 American River Dr, Sacramento CA 95864
Resident Engineer: Tyler Lavering Structure Rep.: Unknown
DIME Sample ID: 2023-09-25-42
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: Quality Assurance
Type of Material: Asphaltic Emulsion
Sample Taken Date: 09/25/2023
Date that the sample was received by the laboratory/organization performing the testing: 09/28/2023
The quantity of what the sample constitutes: 1 JG
A brief description of the sample: SS1H Tack Coat
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: NA
DIME Test ID: 2023-09-25-42-2
Test Method: AASHTO T59-22: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 10/02/2023
Date Tested: 10/02/2023
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: does not comply
Additional Comments When Verified:
|
How many beakers will be used to conduct the test?
|
4
|
|
Beaker 1 Residue
|
52.2 %
|
|
Beaker 2 Residue
|
52.2 %
|
|
Beaker 3 Residue
|
52 %
|
|
Beaker 4 Residue
|
52 %
|
|
Percentage of residue
|
52 %
|
