Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 215589 DEA: 112N0084 EFIS: 1117000153
QA Service Level: 1
DIST-CO-RTE-PM: 11-IMP-7,8,78,86,98,111-Var
Work Description: METHACRYLATE BRIDGE DECKS, REPAIR SPALLS AND REPLACE JOINT SEALS.
Location Description: IMPERIAL COUNTY AT VARIOUS LOCATIONS.
Contractor Name: FEC Future Contractors & Engineers, Inc
Contractor Address: 184 Technology Dr., Ste 2, Irvine, CA 92618
Resident Engineer: David Toci Structure Rep.: Unknown
DIME Sample ID: 2022-04-25-32
TL Number from the TL Form: 0084001
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: 04/25/2022
Date that the sample was received by the laboratory/organization performing the testing: 05/20/2022
The quantity of what the sample constitutes: 1 jug
A brief description of the sample: Tack coat emulsion
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Advantage Sealing Systems
DIME Test ID: 2022-04-25-32-1
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 05/23/2022
Date Tested: 05/23/2022
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:
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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2
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Beaker 1 Residue
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60.6 %
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Beaker 2 Residue
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60.4 %
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Percentage of residue
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61.0 %
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