Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 215662 DEA: 060T3504 EFIS: 0615000065 COOP: 061608
QA Service Level: 1
DIST-CO-RTE-PM: 06-TUL-137-16.6
Work Description: ROADWAY EXCAVATION, HMA (TYPE A), AND INSTALL SIGNALS.
Location Description: TULARE COUNTY IN TULARE AT ROUTE 137/99 SEPARATION
Contractor Name: CAL VALLEY CONSTRUCTION
Contractor Address: 5125 N. Gates Ave, Ste 102, Fresno, CA 93722
Resident Engineer: Mike Garrett Structure Rep.: Unknown
DIME Sample ID: 2022-06-13-28
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Preliminary
Type of Material: Asphaltic Emulsion
Sample Taken Date: 06/13/2022
Date that the sample was received by the laboratory/organization performing the testing: 06/20/2022
The quantity of what the sample constitutes: 1 jar
A brief description of the sample: ss1h 70/30
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Talley Oil - Madera
DIME Test ID: 2022-06-13-28-1
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 06/21/2022
Date Tested: 06/20/2022
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: 70/30 mix
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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4
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Beaker 1 Residue
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43.8 %
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Beaker 2 Residue
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44.0 %
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Beaker 3 Residue
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44.0 %
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Beaker 4 Residue
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44.2 %
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Percentage of residue
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44.0 %
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