Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 215580 DEA: 061A9904 EFIS: 0620000146
QA Service Level: 1
DIST-CO-RTE-PM: 06-KER,TUL-43,46-Var
Work Description: COLD PLANE AC PAVEMENT, REPLACE WITH HMA AND RESURFACE WITH CHIP SEAL.
Location Description: KERN AND TULARE COUNTIES AT VARIOUS LOCATIONS
Contractor Name: AMERICAN PAVEMENT SYSTEMS , Inc.
Contractor Address: 1012 11th Street, Modesto, CA 95354
Resident Engineer: Jake Garcia Structure Rep.: Unknown
DIME Sample ID: 2021-08-06-23
TL Number from the TL Form: 00000
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: 08/06/2021
Date that the sample was received by the laboratory/organization performing the testing: 08/13/2021
The quantity of what the sample constitutes: 1 jug
A brief description of the sample: 70/30 mix
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: VSS Emultech
DIME Test ID: 2021-08-06-23-1
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 09/13/2021
Date Tested: 08/17/2021
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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39.6 %
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Beaker 2 Residue
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40.0 %
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Beaker 3 Residue
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39.2 %
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Beaker 4 Residue
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40.0 %
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Percentage of residue
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40.0 %
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