Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214945 DEA: 051G1304 EFIS: 0514000110
QA Service Level: 1
DIST-CO-RTE-PM: 05-SB-1-M29.9/49.2
Work Description: COLD PLANE AC PAVEMENT, PLACE RHMA-G & HMA (TYPE A).
Location Description: SANTA BARBARA COUNTY NEAR SANTA MARIA FROM CALIFORNIA BOULEVARD TO ROUTE 166
Contractor Name: CAL PORTLAND CONSTRUCTION
Contractor Address: 1625 E Donovan Road, Santa Maria, CA 93454
Resident Engineer: Thomas Peterson Structure Rep.: Unknown
DIME Sample ID: 2021-07-12-36
TL Number from the TL Form: 210712A
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: 07/12/2021
Date that the sample was received by the laboratory/organization performing the testing: 07/20/2021
The quantity of what the sample constitutes: 1 jug
A brief description of the sample: ss-1h emulsion
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: NA
DIME Test ID: 2021-07-12-36-1
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 07/23/2021
Date Tested: 07/22/2021
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: 2018 per spec.
Test Result Compliance: complies
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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59.4 %
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Beaker 2 Residue
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59.4 %
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Beaker 3 Residue
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59.6 %
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Beaker 4 Residue
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60.0 %
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Percentage of residue
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60.0 %
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