Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993572 DEA: 061C5004 EFIS: 0621000172
QA Service Level: 1
DIST-CO-RTE-PM: 06-MAD-145-17.5/25.5
Work Description: RHMA AND HMA PAVING, MODIFY SIGNAL AND LIGHTING SYSTEMS.
Location Description: MADERA COUNTY NEAR MADERA FROM 0.9 MILE SOUTH OF COTTONWOOD CREEK BRIDGE TO ROUTE 41
Contractor Name: Granite Construction
Contractor Address: 2716 S Granite Ct, Fresno, CA 93706
Resident Engineer: Pedro Miguel Structure Rep.: Unknown
DIME Sample ID: 2022-08-18-68
TL Number from the TL Form: 956130
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: 08/18/2022
Date that the sample was received by the laboratory/organization performing the testing: 08/26/2022
The quantity of what the sample constitutes: 1 can
A brief description of the sample: 70/30 mix
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: 2022-08-18-68-1
Test Method: AASHTO T59-22: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 08/31/2022
Date Tested: 08/30/2022
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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39.4 %
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Beaker 2 Residue
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38.0 %
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Percentage of residue
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39 %
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