Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 213596 DEA: 051C8904 EFIS: 0513000009
QA Service Level: 1
DIST-CO-RTE-PM: 05-MON-101-87.3/R91.5
Work Description: PRECAST CONC PVMT, CRACK AND SEAT PAVEMENT AND RECONSTRUCT RAMPS.
Location Description: MONTEREY COUNTY IN SALINAS FROM EAST MARKET STREET UNDERCROSSING TO 0.3 MILE SOUTH OF ESPINOSA ROAD
Contractor Name: Granite Rock Company
Contractor Address: 411 Walker Street, Watsonville, CA 95076
Resident Engineer: Tyler Lavering Structure Rep.: Juan Moreno
DIME Sample ID: 2020-08-11-14
TL Number from the TL Form: 683211
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: 08/11/2020
Date that the sample was received by the laboratory/organization performing the testing: 08/18/2020
The quantity of what the sample constitutes: 1jug
A brief description of the sample: ss-1h tack between lifts
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: 2020-08-11-14-2
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 08/20/2020
Date Tested: 08/20/2020
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:
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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59.8 %
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Beaker 2 Residue
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59.8 %
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Beaker 3 Residue
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60.0 %
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Beaker 4 Residue
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59.8 %
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Percentage of residue
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59.8 %
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