Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214835 DEA: 010J4904 EFIS: 0119000045
QA Service Level: 1
DIST-CO-RTE-PM: 01-LAK-20-8.3/13.4
Work Description: RHMA OVERLAY AND COLD PLANE ASPHALT CONCRETE PAVEMENT.
Location Description: LAKE COUNTY AT NICE FROM ROUTE 29 TO 4.0 MILES EAST OF POLK JONES CATTLEPASS
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 1324 S. STATE STREET;, UKIAH CA 95482
Resident Engineer: Structure Rep.: Unknown
DIME Sample ID: 2020-09-01-25
TL Number from the TL Form: Unknown
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: 09/01/2020
Date that the sample was received by the laboratory/organization performing the testing: 09/22/2020
The quantity of what the sample constitutes: 1 jug
A brief description of the sample: Tack oil ss -1h
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Granite Construction
DIME Test ID: 2020-09-01-25-2
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 09/24/2020
Date Tested: 09/23/2020
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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59.6 %
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Beaker 2 Residue
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59.6 %
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Beaker 3 Residue
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59.0 %
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Beaker 4 Residue
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59.4 %
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Percentage of residue
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59.4 %
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