Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000090 DEA: 024J9204 EFIS: 0223000087
QA Service Level: 1
DIST-CO-RTE-PM: 02-TRI-299-61.0/64.0,70.0/72.2
Work Description: ASPHALT RUBBER CHIP SEAL WITH REPLACE ASPHALT CONCRETE SURFACING.
Location Description: TRINITY COUNTY NEAR DOUGLAS CITY FROM STEEL BRIDGE ROAD TO 1.5 MILES WEST OF GRASS VALLEY CREEK BRIDGE NO 05-0013 AND FROM 2.6 MILES EAST OF TRINITY DAM BOULEVARD TO THE SHASTA COUNTY LINE
Contractor Name: AMERICAN PAVEMENT SYSTEMS, INC.
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown
DIME Sample ID: 2024-08-06-74
TL Number from the TL Form: C854551
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: 08/06/2024
Date that the sample was received by the laboratory/organization performing the testing: 08/09/2024
The quantity of what the sample constitutes: 1of1
A brief description of the sample: EMULSION
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Albina - Klamath Falls, OR
DIME Test ID: 2024-08-06-74-3
Test Method: AASHTO T59-22: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 08/15/2024
Date Tested: 08/15/2024
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: 70/30 mix
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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33.6 %
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Beaker 2 Residue
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33.6 %
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Beaker 3 Residue
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34 %
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Beaker 4 Residue
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33.8 %
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Percentage of residue
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34 %
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