Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214689 DEA: 051M0204
QA Service Level: 1
DIST-CO-RTE-PM: 05-SBT-129-0.3/R2.6
Work Description: COLD PLANE AND OVERLAY EXISTING ROADWAY WITH RHMA-G.
Location Description: SAN BENITO COUNTY ABOUT 10 MILES EAST OF WATSONVILLE FROM 0.1 MILE WEST OF SCHOOL ROAD TO 0.1 MILE EAST OF ROUTE 101/129 SEPARATION
Contractor Name: CAL VALLEY CONSTRUCTION, INC.
Contractor Address: 5125 N. GATES AVENUE, SUITE 1, FRESNO CA 93722
Resident Engineer: Structure Rep.: Unknown
DIME Sample ID: 2020-07-10-26
TL Number from the TL Form: 972753
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: 07/10/2020
Date that the sample was received by the laboratory/organization performing the testing: 07/28/2020
The quantity of what the sample constitutes: 1 jug
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: Talley Oil
DIME Test ID: 2020-07-10-26-2
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 08/04/2020
Date Tested: 08/03/2020
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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How many beakers will be used to conduct the test?
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4
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Beaker 1 Residue
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44.0 %
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Beaker 2 Residue
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42.2 %
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Beaker 3 Residue
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42.2 %
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Beaker 4 Residue
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42.0 %
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Percentage of residue
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42.6 %
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