Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994543 DEA: 023J7604 EFIS: 0222000081
QA Service Level: 1
DIST-CO-RTE-PM: 02-SHA-273-12.8/14.6
Work Description: COLD PLANE ASPHALT CONCRETE PAVEMENT AND PLACE RUBBERIZED HMA-G.
Location Description: SHASTA COUNTY IN REDDING FROM 0.1 MILE NORTH OF CEDARS ROAD/S BONNYVIEW ROAD TO 0.1 MILE NORTH OF BUENAVENTURA BOULEVARD
Contractor Name: TULLIS INC.
Contractor Address: Unknown
Resident Engineer: Edward Worden Structure Rep.: Unknown
DIME Sample ID: 2023-08-08-55
TL Number from the TL Form: C847835
Sample Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Department Acceptance
Type of Material: Asphaltic Emulsion
Sample Taken Date: 08/08/2023
Date that the sample was received by the laboratory/organization performing the testing: 08/21/2023
The quantity of what the sample constitutes: 8 containers of emulsion
A brief description of the sample: EMULSION
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: All American Asphalt
DIME Test ID: 2023-08-08-55-1
Test Method: AASHTO T59-22: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 08/24/2023
Date Tested: 08/24/2023
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:
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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65.4 %
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Beaker 2 Residue
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65.4 %
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Percentage of residue
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65 %
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