Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994696 DEA: 100Y7704 EFIS: 1015000008
QA Service Level: 1
DIST-CO-RTE-PM: 10-MPA-140-12.0/22.1
Work Description: REPLACE AC SURFACING, PLACE HMA AND RHMA, AND BRIDGE REPAIR.
Location Description: MARIPOSA COUNTY NEAR MARIPOSA FROM 1.3 MILES EAST OF CATHEYS VALLEY PARK TO 0.1 MILE NORTH OF ROUTE 49
Contractor Name: GEORGE REED, INC.
Contractor Address: 140 EMPIRE AVE, MODESTO CA 95354
Resident Engineer: Troy Scheiber Structure Rep.: Unknown
DIME Sample ID: 2024-08-14-43
TL Number from the TL Form: C023431
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: 08/14/2024
Date that the sample was received by the laboratory/organization performing the testing: 08/16/2024
The quantity of what the sample constitutes: 1 can of Emulsion
A brief description of the sample: Asphaltic Emulsion Tack Coat
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Pacific Northwest Oil
DIME Test ID: 2024-08-14-43-1
Test Method: AASHTO T59-22: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 08/20/2024
Date Tested: 08/20/2024
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: 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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59.4 %
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Beaker 2 Residue
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59.6 %
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Percentage of residue
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60 %
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