Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994872 DEA: 060X1604 EFIS: 0618000183
QA Service Level: 1
DIST-CO-RTE-PM: 06-KER-58-R64.4/67.3
Work Description: HMA (TYPE A), RHMA-G, JPCP, CRCP & HIGH SPEED WEIGH-IN-MOTION SYSTEM.
Location Description: KERN COUNTY NEAR EDISON FROM 0.2 MILE WEST OF TEJON HIGHWAY OVERCROSSING TO CALIENTE CREEK BRIDGE
Contractor Name: GRIFFITH COMPANY
Contractor Address: 1128 Carrier Parkway Avenue, Bakersfield, CA 93308
Resident Engineer: Mandeep Chahal Structure Rep.: Unknown
DIME Sample ID: 2024-05-06-33
TL Number from the TL Form: 772726
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: 05/06/2024
Date that the sample was received by the laboratory/organization performing the testing: 05/10/2024
The quantity of what the sample constitutes: 1 jar
A brief description of the sample: 3/4" MIX HMA-TACK COAT
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: 2024-05-06-33-1
Test Method: AASHTO T59-22: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 05/13/2024
Date Tested: 05/13/2024
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: EVAP
Test Result Compliance:
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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30.4 %
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Beaker 2 Residue
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32.2 %
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Percentage of residue
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31 %
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