Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993343 DEA: 022J3604 EFIS: 0221000070
QA Service Level: 1
DIST-CO-RTE-PM: 02-TEH-36-67.5/R75.1
Work Description: ASPHALT-RUBBER BINDER, SEAL COAT & REPLACE ASPHALT CONCRETE SURFACING.
Location Description: TEHAMA COUNTY NEAR MINERAL FROM 0.2 MILE EAST OF LATKA ROAD TO 0.1 MILE EAST OF LITTLE GIANT MILL ROAD
Contractor Name: VSS International
Contractor Address: 3785 Channel Drive, West Sacramento, CA 95691
Resident Engineer: Mike Zdenek Structure Rep.: Unknown
DIME Sample ID: 2022-06-22-42
TL Number from the TL Form: 851374
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: 06/22/2022
Date that the sample was received by the laboratory/organization performing the testing: 07/01/2022
The quantity of what the sample constitutes: 1 jug
A brief description of the sample: tack oil
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: VSS Emultech Redding
DIME Test ID: 2022-06-22-42-1
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 07/08/2022
Date Tested: 07/07/2022
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: not applicable
Additional Comments When Verified:
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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49.4 %
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Beaker 2 Residue
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49.4 %
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Percentage of residue
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49 %
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