Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 212751 DEA: 032F3204 EFIS: 0300020594
QA Service Level: 1
DIST-CO-RTE-PM: 03-YUB-20-8-10.2
Work Description: LOMA RICA RD./SPRING VALLEY ROAD WIDENING AND REHAB
Location Description: ABOUT 6 MILES EAST OF MARYSVILLE FROM 0.1 MILE EAST OF LOMA RICA ROAD TO 0.2 MILE WEST OF SPRING VALLEY ROAD.
Contractor Name: LAMON CONSTRUCTION
Contractor Address: 871 Von Geldern Way, Yuba City , CA 95991
Resident Engineer: Garrett Griffith Structure Rep.: Mathew Crete
DIME Sample ID: 2020-06-30-24
TL Number from the TL Form: 593239
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: 06/30/2020
Date that the sample was received by the laboratory/organization performing the testing: 07/07/2020
The quantity of what the sample constitutes: 1 jug
A brief description of the sample: SS-1H 1jug 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
DIME Test ID: 2020-06-30-24-1
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Residue and Oil Distillate (Sec. 6))
Verified Date: 07/10/2020
Date Tested: 07/10/2020
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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