Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000002 DEA: 010M6404 EFIS: 0123000051
QA Service Level: 1
DIST-CO-RTE-PM: 01-LAK-29-R45.1/52.5
Work Description: RHMA-G, COLD PLANE AC PAVEMENT, AND PAVEMENT DELINEATION.
Location Description: LAKE COUNTY NEAR LAKEPORT FROM PARK WAY OVERCROSSING TO ROUTE 20
Contractor Name: ARGONAUT CONSTRUCTORS , INC.
Contractor Address: 360 Sutton Place, Santa Rosa, CA 95402
Resident Engineer: Daniel Kraft Structure Rep.: Unknown
DIME Sample ID: 2024-08-19-56
TL Number from the TL Form: 881516
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: 08/19/2024
Date that the sample was received by the laboratory/organization performing the testing: 08/23/2024
The quantity of what the sample constitutes: 1 of 1
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: 2024-08-19-56-1
Test Method: AASHTO T59-22: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 08/27/2024
Date Tested: 08/27/2024
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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59.8 %
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Beaker 2 Residue
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59.6 %
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Percentage of residue
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60 %
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