Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993855 DEA: 060U4604 EFIS: 0615000309
QA Service Level: 1
DIST-CO-RTE-PM: 06-KIN-41-20.0-28.4
Work Description: COLD CENTRAL PLANT RECYCLING, HMA AND HMA-OGFC.
Location Description: KINGS COUNTY NEAR KETTLEMAN CITY FROM 0.1 MILE SOUTH OF QUAIL AVENUE TO NEVADA AVENUE
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 2716 S Granite Ct, Fresno, CA 93706
Resident Engineer: Din Dadawalla Structure Rep.: Unknown
DIME Sample ID: 2024-04-29-37
TL Number from the TL Form: Not Provided
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: 04/29/2024
Date that the sample was received by the laboratory/organization performing the testing: 05/06/2024
The quantity of what the sample constitutes: 1 jar
A brief description of the sample: SS-1H 50/50 MIX PRIME COAT
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: TALLY OIL
DIME Test ID: 2024-04-29-37-1
Test Method: AASHTO T59-22: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 05/08/2024
Date Tested: 05/07/2024
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: EVAP
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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29.2 %
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Beaker 2 Residue
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31.4 %
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Percentage of residue
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30 %
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