Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 995051 DEA: 023H6804 EFIS: 0218000006
QA Service Level: 1
DIST-CO-RTE-PM: 02-SHA-5-R28.8/R44.1
Work Description: PLACE RHMA, PAINT TRAFFIC STRIPE, & INSTALL FIBER OPTIC CABLE SYSTEM.
Location Description: SHASTA COUNTY ABOUT 6 MILES NORTH OF SHASTA LAKE CITY FROM PIT RIVER BRIDGE TO 1.2 MILES SOUTH OF DOG CREEK BRIDGE
Contractor Name: J.F. SHEA CONSTRUCTION, INC.
Contractor Address: 17400 CLEAR CREEK ROAD, REDDING, CA 96001
Resident Engineer: Kyle Higgins Structure Rep.: Unknown
DIME Sample ID: 2024-08-23-64
TL Number from the TL Form: C854556
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: 08/23/2024
Date that the sample was received by the laboratory/organization performing the testing: 08/30/2024
The quantity of what the sample constitutes: 2 of 2 jars
A brief description of the sample: CQS-1 Emulsion TACK COAT
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Unknown
DIME Test ID: 2024-08-23-64-1
Test Method: AASHTO T59-22: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 09/05/2024
Date Tested: 09/05/2024
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: 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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62.2 %
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Beaker 2 Residue
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62.4 %
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Percentage of residue
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62 %
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