Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214801 DEA: 031G6504 EFIS: 0319000105
QA Service Level: 1
DIST-CO-RTE-PM: 03-PLA,NEV-89-21.5/21.6,0.0/0.5
Work Description: COLD PLANE AC PAVEMENT AND PLACE HMA (TYPE A).
Location Description: PLACER AND NEVADA COUNTIES IN AND NEAR TRUCKEE FROM WEST RIVER STREET TO 0.2 MILE NORTH OF DEERFIELD DRIVE
Contractor Name: All-American Construction, Inc.
Contractor Address: P.O. Box 536, Live Oak, CA 95953
Resident Engineer: Bojana Guiterrez Structure Rep.: Unknown
DIME Sample ID: 2020-08-11-29
TL Number from the TL Form:
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: 09/01/2020
The quantity of what the sample constitutes: 1 jar
A brief description of the sample: ss-1h not cut
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Pacific Northwest Oil
DIME Test ID: 2020-08-11-29-1
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
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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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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57.0 %
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Beaker 2 Residue
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57.0 %
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Beaker 3 Residue
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57.4 %
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Beaker 4 Residue
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57.2 %
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Percentage of residue
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57.2 %
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