Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 213942 DEA: 051F7004 EFIS: 0514000055
QA Service Level: 1
DIST-CO-RTE-PM: 05-MON-101-73.1/87.3
Work Description: REPLACE CONCRETE PANEL AND RESURFACE HMA PAVEMENT.
Location Description: MONTEREY COUNTY NEAR CHUALAR FROM 0.5 MILE NORTH OF NORTH GONZALES OVERCROSSING TO EAST MARKET STREET UNDERCROSSING
Contractor Name: Granite Rock Company
Contractor Address: 5225 Hellyer Avenue Suite 220, San Jose, CA 95138
Resident Engineer: Tyler Lavering Structure Rep.: Unknown
DIME Sample ID: 2020-06-09-20
TL Number from the TL Form: 279610
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: 06/09/2020
Date that the sample was received by the laboratory/organization performing the testing: 06/18/2020
The quantity of what the sample constitutes: 1 bottle
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: Pacific Northwest Oil - Stockton, CA
DIME Test ID: 2020-06-09-20-1
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Residue and Oil Distillate (Sec. 6))
Verified Date: 06/22/2020
Date Tested: 06/19/2020
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:
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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59.8 %
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