Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993473 DEA: 101J1804 EFIS: 1018000133
QA Service Level: 1
DIST-CO-RTE-PM: 10-MPA-140-0.0/12.0
Work Description: COLD PLANE ASPHALT CONCRETE PAVEMENT AND RESURFACE WITH HMA AND RHMA.
Location Description: MARIPOSA COUNTY AT AND NEAR CATHEYS VALLEY FROM MERCED COUNTY LINE TO 1.7 MILES EAST OF CATHEYS VALLEY PARK
Contractor Name: Cal Valley Construction
Contractor Address: 5125 N. Gates Ave., Ste. 102, Fresno, CA, 93722-6414
Resident Engineer: Wali Waziri Structure Rep.: Unknown
DIME Sample ID: 2022-10-20-49
TL Number from the TL Form: 759762
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: 10/20/2022
Date that the sample was received by the laboratory/organization performing the testing: 10/28/2022
The quantity of what the sample constitutes: 1 jug
A brief description of the sample: SS-1H
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Talley Oil
DIME Test ID: 2022-10-20-49-1
Test Method: AASHTO T59-22: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 11/01/2022
Date Tested: 10/30/2022
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:
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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39.8 %
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Beaker 2 Residue
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39.8 %
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Percentage of residue
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40 %
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