Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 215346 DEA: 034F1714 EFIS: 0318000208
QA Service Level: 1
DIST-CO-RTE-PM: 03-YOL-16-27.5/28.3
Work Description: CONSTRUCT CURB RAMPS, CURB & GUTTER AND LIGHTING.
Location Description: YOLO COUNTY IN ESPARTO FROM 0.2 MILE EAST OF FREMONT STREET TO 0.2 MILE SOUTH OF PLAINFIELD STREET
Contractor Name: FBD VANGUARD CONSTRUCTION, INC.
Contractor Address: 550 Greenville Rd, Livermore, CA 94550
Resident Engineer: Howard Giang Structure Rep.: Unknown
DIME Sample ID: 2022-06-07-17
TL Number from the TL Form: 849830
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: 06/07/2022
Date that the sample was received by the laboratory/organization performing the testing: 06/08/2022
The quantity of what the sample constitutes: 1 jug
A brief description of the sample: Tack Coat oil, 3/4" HMA-RAP-SP
From where was the sample collected: Distributor
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Teichert Woodland Plant
DIME Test ID: 2022-06-07-17-1
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 06/09/2022
Date Tested: 06/09/2022
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: SS-1h
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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58.0 %
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Beaker 2 Residue
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59.6 %
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Percentage of residue
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59.0 %
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