Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 212581 DEA: 030H1004 EFIS: 0315000076
QA Service Level: 1
DIST-CO-RTE-PM: 03-ED-50-37.6
Work Description:
Location Description:
Contractor Name: Myers & Sons Construction
Contractor Address: 4600 Northgate Boulevard, Suite 100, Sacramento, CA 95834-1121
Resident Engineer: Jarrett Woodruff Structure Rep.: Bill Brook
DIME Sample ID: 2020-06-08-7
TL Number from the TL Form: 792902
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: 06/08/2020
Date that the sample was received by the laboratory/organization performing the testing: 06/10/2020
The quantity of what the sample constitutes: 1 bottle
A brief description of the sample: Emulstion
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: 2020-06-08-7-1
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Residue and Oil Distillate (Sec. 6))
Verified Date: 06/19/2020
Date Tested: 06/10/2020
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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No
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Percentage of oil residue
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59.1 %
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