Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993234 DEA: 051H0004 EFIS: 0516000011
QA Service Level: 1
DIST-CO-RTE-PM: 05-MON-68-1.1/L4.3
Work Description: PLACE HMA AND MODIFY SIGNAL AND LIGHTING SYSTEMS.
Location Description: MONTEREY COUNTY IN AND NEAR PACIFIC GROVE AND MONTEREY FROM FOREST AVENUE TO ROUTE 68/1 SEPARATION
Contractor Name: Graniterock Company
Contractor Address: 350 Technology Drive, Watsonville, CA 95076
Resident Engineer: Tyler Lavering Structure Rep.: Unknown
DIME Sample ID: 2023-06-26-57
TL Number from the TL Form:
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: 06/26/2023
Date that the sample was received by the laboratory/organization performing the testing: 07/06/2023
The quantity of what the sample constitutes: 1 Jug
A brief description of the sample: SS-1H 1jug tack coat emulsion
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Pacific Northwest Oil - Stockton, CA
DIME Test ID: 2023-06-26-57-1
Test Method: AASHTO T59-22: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 07/07/2023
Date Tested: 07/07/2023
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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58.2 %
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Beaker 2 Residue
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58.0 %
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Percentage of residue
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58 %
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