Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214809 DEA: 060Y0504 EFIS: 0619000153
QA Service Level: 1
DIST-CO-RTE-PM: 06-KER-5-30.8/40.0
Work Description: COLD PLANE AC PAVEMENT AND PLACE RHMA-O.
Location Description: KERN COUNTY NEAR BAKERSFIELD FROM 1.7 MILES NORTH OF OLD RIVER ROAD OVERCROSSING TO 1.2 MILES NORTH OF ROUTE 119/5 SEPARATION
Contractor Name: GRIFFITH COMPANY
Contractor Address: 1128 CARRIER PARKWAY AVENUE;, BAKERSFIELD CA 93308
Resident Engineer: Robert Decker Structure Rep.: Unknown
DIME Sample ID: 2020-06-09-25
TL Number from the TL Form: 771779
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: 06/19/2020
The quantity of what the sample constitutes: 1 bottle
A brief description of the sample: Emulsion
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Western Refining
DIME Test ID: 2020-06-09-25-1
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Residue and Oil Distillate (Sec. 6))
Verified Date: 06/24/2020
Date Tested: 06/24/2020
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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44.7 %
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