Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 995244 DEA: 061A4604 EFIS: 0620000037
QA Service Level: 1
DIST-CO-RTE-PM: 06-FRE-180-89.6/90.7
Work Description: HMA (TYPE A), HMA-OGFC, CL2 AGGREGATE BASE AND ROADWAY EXCAVATION.
Location Description: FRESNO COUNTY AT YOKUTS VALLEY FROM 0.2 MILE EAST OF GEORGE SMITH ROAD TO ELWOOD ROAD.
Contractor Name: CAL VALLEY CONSTRUCTION, INC.
Contractor Address: 5125 North Gate Avenue Suite 102, Fresno, CA 93722
Resident Engineer: Gashu Enquanhone Structure Rep.: Unknown
DIME Sample ID: 2024-07-25-44
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Acceptance
Type of Material: Asphaltic Emulsion
Sample Taken Date: 07/25/2024
Date that the sample was received by the laboratory/organization performing the testing: 08/01/2024
The quantity of what the sample constitutes: 1 bottle
A brief description of the sample: Asphaltic Emulsion Tack Coat
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Cal Valley Construction
DIME Test ID: 2024-07-25-44-3
Test Method: AASHTO T59-22: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 08/05/2024
Date Tested: 08/05/2024
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: does not comply
Additional Comments When Verified:
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How many beakers will be used to conduct the test?
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4
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Beaker 1 Residue
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44.6 %
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Beaker 2 Residue
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45.6 %
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Beaker 3 Residue
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45 %
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Beaker 4 Residue
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45.2 %
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Percentage of residue
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45 %
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