Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 213781 DEA: 031F1904 EFIS: 0300001105
QA Service Level: 1
DIST-CO-RTE-PM: 03-SAC-50-R2.6/R3.8
Work Description: ADD AUXILIARY LANE
Location Description: SACRAMENTO COUNTY IN SACRAMENTO FROM HOWE AVENUE OVERCROSSING TO 0.65 MILE EAST OF 65TH STREET
Contractor Name: O.C. JONES & SONS, INC.
Contractor Address: 1520 4th Street, Berkeley, CA 94710
Resident Engineer: Mrudang Shah Structure Rep.: Joseph Harline
DIME Sample ID: 2020-05-11-2
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Verification
Type of Material: Asphaltic Emulsion
Sample Taken Date: 05/11/2020
Date that the sample was received by the laboratory/organization performing the testing: 05/14/2020
The quantity of what the sample constitutes: 1
A brief description of the sample: EMULSION
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: NL
DIME Test ID: 2020-05-11-2-1
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Residue and Oil Distillate (Sec. 6))
Verified Date: 05/15/2020
Date Tested: 05/15/2020
Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Organization Address: 5900 Folsom Boulevard, Room 225,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (916) 227-7302
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
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What parameters are being calculated?
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Percentage of oil residue
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Is this a polymer-modified emulsion
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Yes
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Percentage of oil residue
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59.2 %
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