Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 215062 DEA: 030F2904 EFIS: 0314000101
QA Service Level: 1
DIST-CO-RTE-PM: 03-BUT-99-14.9/15.7
Work Description: CONSTRUCT BRIDGE AND ROADWAY; & REMOVE BRIDGE.
Location Description: BUTTE COUNTY ABOUT 10 MILES NORTH OF GRIDLEY FROM 0.3 MILE SOUTH TO 0.5 MILE NORTH OF NELSON AVENUE
Contractor Name: A. TEICHERT & SON, INC. DBA TEICHERT CONSTRUCTION
Contractor Address: 400 Sunrise Ave Ste 300,, Roseville, CA 95661
Resident Engineer: Daniel Rechs Structure Rep.: James Ralston
DIME Sample ID: 2021-11-04-26
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: Acceptance
Type of Material: Asphaltic Emulsion
Sample Taken Date: 11/04/2021
Date that the sample was received by the laboratory/organization performing the testing: 11/15/2021
The quantity of what the sample constitutes: 1 bottle
A brief description of the sample: SS-1h
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: not listed
DIME Test ID: 2021-11-04-26-1
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 11/17/2021
Date Tested: 11/14/2021
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: does not comply
Additional Comments When Verified:
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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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53.8 %
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Beaker 2 Residue
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53.8 %
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Percentage of residue
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54.0 %
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