Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993426 DEA: 061C3604 EFIS: 0621000162
QA Service Level: 1
DIST-CO-RTE-PM: 06-TUL-63-0.0/2.0
Work Description: COLD PLANE AC, PLACE HMA (TYPE A) AND RHMA-G.
Location Description: TULARE COUNTY IN AND NEAR TULARE FROM ROUTE 137 TO EAST CARTMILL AVENUE
Contractor Name: Cal Valley Construction
Contractor Address: 5125 N. Gates Ave., Ste. 102, Fresno, CA, 93722-6414
Resident Engineer: Haidar Haddadin Structure Rep.: Unknown
DIME Sample ID: 2022-06-08-25
TL Number from the TL Form: 040214
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: 06/08/2022
Date that the sample was received by the laboratory/organization performing the testing: 06/15/2022
The quantity of what the sample constitutes: 1 jar
A brief description of the sample: 70/30 SS-1H, 3/8 RHMA
From where was the sample collected: Distributor
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Talley Oil Co
DIME Test ID: 2022-06-08-25-1
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:
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How many beakers will be used to conduct the test?
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4
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Beaker 1 Residue
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29.8 %
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Beaker 2 Residue
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30.4 %
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Beaker 3 Residue
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30.2 %
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Beaker 4 Residue
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29.6 %
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Percentage of residue
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30.0 %
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