Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 212630 DEA: 022H6304 EFIS: 0216000156
QA Service Level: 1
DIST-CO-RTE-PM: 02-TEH-36-26.6/27.6
Work Description: DIAMOND STAR CURVE
Location Description: TEHAMA COUNTY ABOUT 14 MILES WEST OF RED BLUFF FROM 0.3 MILE WEST OF BASLER ROAD TO 0.1 MILE EAST OF DIAMOND STAR ROAD
Contractor Name: Tulis, Inc.
Contractor Address: P.O. Box 493416, Redding, CA 96049
Resident Engineer: Mandhir Grewal Structure Rep.: Unknown
DIME Sample ID: 2020-08-18-27
TL Number from the TL Form: 036608
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: 08/18/2020
Date that the sample was received by the laboratory/organization performing the testing: 08/28/2020
The quantity of what the sample constitutes: 1 jug CQS-1
A brief description of the sample: CQS-1 Emulsion
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Albina Asphalt
DIME Test ID: 2020-08-18-27-1
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Residue and Oil Distillate (Sec. 6))
Verified Date: 09/08/2020
Date Tested: 09/02/2020
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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62.0 %
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