Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 210618 DEA: 06342534 EFIS: 0600000382 COOP: 061616A2
QA Service Level: 1
DIST-CO-RTE-PM: 06-FRE-180-R74.1/R78.6
Work Description: CONSTRUCT SEGMENT 3 OF KINGS CANYON EXPRESSWAY
Location Description: FRESNO COUNTY ABOUT 8.4 MILES EAST OF FRESNO FROM 0.7 MILE WEST OF SMITH AVENUE TO 0.7 MILE EAST OF FRANKWOOD AVENUE
Contractor Name: SECURITY PAVING COMPANY, INC.
Contractor Address: 13170 TELFAIR AVENUE, SYLMAR, CA 91342
Resident Engineer: Justin Kimura Structure Rep.: Michael Trinh
DIME Sample ID: 2020-07-22-31
TL Number from the TL Form: 040176-1
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: 07/22/2020
Date that the sample was received by the laboratory/organization performing the testing: 08/04/2020
The quantity of what the sample constitutes: One 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: Talley Oil
DIME Test ID: 2020-07-22-31-1
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Residue and Oil Distillate (Sec. 6))
Verified Date: 08/05/2020
Date Tested: 08/05/2020
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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58.0 %
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