Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994087 DEA: 051G4104 EFIS: 0515000012
QA Service Level: 1
DIST-CO-RTE-PM: 05-SB-101-4.0/4.8
Work Description: Santa Claus Lane Bike Path - !!Charge time to 05-0N72U4 per Project Manager / Corridor Manager!!
Location Description: !!Charge time to 05-0N72U4 per Project Manager / Corridor Manager!!
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 5335 Debbie Road, Santa Barbara, CA 93111
Resident Engineer: Luobao Cai Structure Rep.: Josh Madrigal
DIME Sample ID: 2023-06-26-76
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: Acceptance
Type of Material: Asphaltic Emulsion
Sample Taken Date: 06/26/2023
Date that the sample was received by the laboratory/organization performing the testing: 07/14/2023
The quantity of what the sample constitutes: 2 quart bottles
A brief description of the sample: micro seal emulsion
From where was the sample collected: Job Site
Laboratory sample identification: BP0004
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Granite Construction Company
DIME Test ID: 2023-06-26-76-2
Test Method: AASHTO T59-22: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 07/17/2023
Date Tested: 07/17/2023
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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63.2 %
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Beaker 2 Residue
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63.2 %
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Percentage of residue
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63 %
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