Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 215615 DEA: 101L2304 EFIS: 1020000163
QA Service Level: 1
DIST-CO-RTE-PM: 10-SJ-4-5.4/13.4
Work Description: COLD PLANE ASPHALT CONCRETE PAVEMENT AND RESURFACE WITH HMA AND RHMA.
Location Description: SAN JOAQUIN COUNTY NEAR STOCKTON FROM 1 MILE EAST OF MIDDLE RIVER BRIDGE TO 0.1 MILE WEST OF JOHN TURK ROAD
Contractor Name: GEORGE REED , INC.
Contractor Address: P.O. BOX 4760, MODESTO, CA 95352
Resident Engineer: Troy Scheiber Structure Rep.: Unknown
DIME Sample ID: 2021-09-13-20
TL Number from the TL Form: c031840
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: 09/13/2021
Date that the sample was received by the laboratory/organization performing the testing: 09/17/2021
The quantity of what the sample constitutes: 1 bottle
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: PACIFIC NORTHWEST OIL
DIME Test ID: 2021-09-13-20-1
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 09/20/2021
Date Tested: 09/19/2021
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: Per 2018 Standard Specifications
Test Result Compliance: complies
Additional Comments When Verified:
How many beakers will be used to conduct the test?
|
4
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Beaker 1 Residue
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58.8 %
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Beaker 2 Residue
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59.6 %
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Beaker 3 Residue
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59.2 %
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Beaker 4 Residue
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59.6 %
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Percentage of residue
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59 %
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