Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000114 DEA: 060W8204 EFIS: 0617000304
QA Service Level: 1
DIST-CO-RTE-PM: 06-KIN-41-28.4/R40.1
Work Description: COLD PLANE WITH HOT MIX ASPHALT (TYPE A) AND RHMA-G.
Location Description: KINGS COUNTY AT AND NEAR STRATFORD FROM NEVADA AVENUE TO ROUTE 41/198 SEPARATION
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 2716 S Granite Ct, Fresno, CA 93706
Resident Engineer: Oscar Sherrill Structure Rep.: Martin Garcia
DIME Sample ID: 2024-07-02-69
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: Verification
Type of Material: Asphaltic Emulsion
Sample Taken Date: 07/02/2024
Date that the sample was received by the laboratory/organization performing the testing: 07/12/2024
The quantity of what the sample constitutes: 1 jar
A brief description of the sample: SS-1H Emulsified Asphalt
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Granite Construction
DIME Test ID: 2024-07-02-69-1
Test Method: AASHTO T59-22: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 07/15/2024
Date Tested: 07/15/2024
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: EVAP
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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37 %
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Beaker 2 Residue
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36.4 %
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Percentage of residue
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37 %
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