Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993236 DEA: 051K0504 EFIS: 0518000114
QA Service Level: 1
DIST-CO-RTE-PM: 05-MON-1-55.7/55.9
Work Description: CONSTRUCT EARTH RETAINING SYSTEM WITH CIDH PILE & STRUCTURAL CONCRETE.
Location Description: MONTEREY COUNTY NEAR LITTLE SUR RIVER FROM 0.4 MILE SOUTH OF LITTLE SUR RIVER BRIDGE TO 0.2 MILE SOUTH OF LITTLE SUR RIVER BRIDGE
Contractor Name: GORDON N BALL INC
Contractor Address: 333 CAMILLE AVENUE, ALAMO CA 94507
Resident Engineer: Arashdeep (Art) Pannu Structure Rep.: David Galarza
DIME Sample ID: 2022-04-20-34
TL Number from the TL Form: 956409
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: 04/20/2022
Date that the sample was received by the laboratory/organization performing the testing: 04/27/2022
The quantity of what the sample constitutes: 1 jug
A brief description of the sample: Tack oil ss1h
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Reed & Graham, Inc.
DIME Test ID: 2022-04-20-34-1
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 04/28/2022
Date Tested: 04/28/2022
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: if SS1H is pure (100%), it does not meet minimum of 57%, TL101 lacks residue details
Test Result Compliance:
Additional Comments When Verified:
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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46.4 %
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Beaker 2 Residue
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46.4 %
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Percentage of residue
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46.0 %
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