Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993583 DEA: 032G4004 EFIS: 0321000121
QA Service Level: 1
DIST-CO-RTE-PM: 03-SAC-220-0.0/3.0
Work Description: REPLACE AC SURFACING, PLACE HMA (TYPE A), & COLD PLANE AC PVMT.
Location Description: SACRAMENTO COUNTY NEAR WALNUT GROVE FROM THE SOLANO COUNTY LINE TO 0.1 MILE WEST OF ROUTE 160
Contractor Name: ALL AMERICAN CONSTRUCTION
Contractor Address: P.O. BOX 635 2048 PASEO ROAD, LIVE OAK CA 95953
Resident Engineer: Masoud Structure Rep.: Unknown
DIME Sample ID: 2022-06-10-19
TL Number from the TL Form: 042956
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: 06/10/2022
Date that the sample was received by the laboratory/organization performing the testing: 06/13/2022
The quantity of what the sample constitutes: 1 jug
A brief description of the sample: Tack oil ss-1h 100%
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Pacific Northwest Oil - Stockton, CA
DIME Test ID: 2022-06-10-19-1
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 06/15/2022
Date Tested: 06/15/2022
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:
Additional Comments When Verified:
How many beakers will be used to conduct the test?
|
4
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Beaker 1 Residue
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57.6 %
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Beaker 2 Residue
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57.8 %
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Beaker 3 Residue
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57.4 %
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Beaker 4 Residue
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57.6 %
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Percentage of residue
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58 %
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