Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 215789 DEA: 10462104 EFIS: 1013000266
QA Service Level: 1
DIST-CO-RTE-PM: 10-TUO-108-R18.9/38.8
Work Description: COLD PLANE, HMA, DRAINAGE REPLACEMENT, AND MODIFY TRAFFIC STATIONS.
Location Description: TUOLUMNE COUNTY IN AND NEAR LONG BARN FROM 0.1 MILE WEST OF LONG BARN ROAD TO 2.3 MILES EAST OF COW CREEK ROAD
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Shamsurahman Sheenwari Structure Rep.: Unknown
DIME Sample ID: 2022-07-20-55
TL Number from the TL Form: 759757
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: 07/20/2022
Date that the sample was received by the laboratory/organization performing the testing: 08/02/2022
The quantity of what the sample constitutes: 1 jug
A brief description of the sample: Tack coat
From where was the sample collected: Distributor
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: George Reed Inc
DIME Test ID: 2022-07-20-55-1
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 08/03/2022
Date Tested: 08/03/2022
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: 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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56.8 %
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Beaker 2 Residue
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56.6 %
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Percentage of residue
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57.0 %
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