Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 995123 DEA: 051K4304 EFIS: 0518000207
QA Service Level: 1
DIST-CO-RTE-PM: 05-MON-183-R2.1/R8.3
Work Description: RHMA (GAP GRADED), CONCRETE BARRIER TRANSITION AND LIGHTING SYSTEMS.
Location Description: MONTEREY COUNTY NEAR SALINAS FROM 0.2 MILE SOUTH OF OLD CEMETERY ROAD TO 0.1 MILE SOUTH OF DEL MONTE AVENUE IN CASTROVILLE.
Contractor Name: A. TEICHERT & SON, INC. DBA TEICHERT CONSTRUCTION
Contractor Address: Unknown
Resident Engineer: David Hopper Structure Rep.: Unknown
DIME Sample ID: 2024-06-10-44
TL Number from the TL Form:
Sample Submitted By Organization: CT D05 - Monterey Construction Field Laboratory
Sample Organization Contact: 831-818-0254
Type of Sample: Verification
Type of Material: Asphaltic Emulsion
Sample Taken Date: 06/10/2024
Date that the sample was received by the laboratory/organization performing the testing: 06/21/2024
The quantity of what the sample constitutes: 1 jg
A brief description of the sample: SS-1H
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Pacific Northwest Oil - Stockton, CA
DIME Test ID: 2024-06-10-44-2
Test Method: AASHTO T59-22: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 06/25/2024
Date Tested: 06/24/2024
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: 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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59.6 %
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Beaker 2 Residue
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59.4 %
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Percentage of residue
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60 %
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