Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994228 DEA: 061F4404 EFIS: 0622000236
QA Service Level: 1
DIST-CO-RTE-PM: 06-KER-119-30.1/30.9
Work Description:
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown
DIME Sample ID: 2022-08-24-78
TL Number from the TL Form: 773894
Sample Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Quality Assurance
Type of Material: Asphaltic Emulsion
Sample Taken Date: 08/24/2022
Date that the sample was received by the laboratory/organization performing the testing: 09/28/2022
The quantity of what the sample constitutes: 1 JUG
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: Centennial Asphalt
DIME Test ID: 2022-08-24-78-1
Test Method: AASHTO T59-22: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 09/29/2022
Date Tested: 09/29/2022
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, For informational purposes only
Test Result Compliance:
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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41.6 %
|
|
Beaker 2 Residue
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41.6 %
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Percentage of residue
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42 %
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