Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 215410 DEA: 060U5204 EFIS: 0616000003
QA Service Level: 1
DIST-CO-RTE-PM: 06-MAD-99-R14.0/R14.5,15.1/19.6
Work Description: HMA (TYPE A) AND RHMA (GAP GRADED) RESURFACING.
Location Description: MADERA COUNTY IN AND NEAR MADERA FROM 0.2 MILE SOUTH OF AVENUE 17 OVERCROSSING TO 0.3 MILE NORTH OF AVENUE 17 OVERCROSSING AND FROM 1.0 MILE NORTH OF AVENUE 17 OVERCROSSING TO 0.9 MILE NORTH OF AVENUE 20 OVERCROSSING
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 2716 Granite Court, Fresno, CA 93706
Resident Engineer: Justin Kimura Structure Rep.: Unknown
DIME Sample ID: 2021-10-07-28
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: Department Acceptance
Type of Material: Asphaltic Emulsion
Sample Taken Date: 10/07/2021
Date that the sample was received by the laboratory/organization performing the testing: 10/15/2021
The quantity of what the sample constitutes: 1 bottle
A brief description of the sample: SS-1h 70/30
From where was the sample collected: Distributor
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Talley Oil Madera
DIME Test ID: 2021-10-07-28-1
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 10/19/2021
Date Tested: 10/18/2021
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: pass
How many beakers will be used to conduct the test?
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2
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Beaker 1 Residue
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41.2 %
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Beaker 2 Residue
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41.0 %
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Percentage of residue
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41.0 %
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