Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214907 DEA: 101K4204 EFIS: 1019000103
QA Service Level: 1
DIST-CO-RTE-PM: 10-MER,STA-165-30.6/36.7,0.0/1.6
Work Description: COLD PLANE AC PAVEMENT, RESURFACE WITH RHMA, AND MICRO-SURFACING.
Location Description: MERCED COUNTY IN AND NEAR HILMAR FROM MERCED RIVER BRIDGE TO STANISLAUS COUNTY LINE AND IN STANISLAUS COUNTY NEAR TURLOCK FROM MERCED COUNTY LINE TO ROUTE 99/165 SEPARATION
Contractor Name: TEICHERT CONSTRUCTION
Contractor Address: 400 SUNRISE AVE. SUITE 300;, ROSEVILLE CA 95661
Resident Engineer: Vince Ladiao Structure Rep.: Unknown
DIME Sample ID: 2020-08-18-15
TL Number from the TL Form: 722060
Sample Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Department Acceptance
Type of Material: Asphaltic Emulsion
Sample Taken Date: 08/18/2020
Date that the sample was received by the laboratory/organization performing the testing: 08/21/2020
The quantity of what the sample constitutes: 1 jug
A brief description of the sample: SS-1H ASPHALTIC 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 - Stockton, CA
DIME Test ID: 2020-08-18-15-2
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 08/26/2020
Date Tested: 08/26/2020
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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59.4 %
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Beaker 2 Residue
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59.4 %
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Beaker 3 Residue
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59.4 %
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Beaker 4 Residue
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59.6 %
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Percentage of residue
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59.4 %
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