Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 995442 DEA: 024J8604 EFIS: 0223000081
QA Service Level: 1
DIST-CO-RTE-PM: 02-SHA-299-40.7/50.5
Work Description: PLACE ASPHALT-RUBBER CHIP SEAL AND THERMOPLASTIC TRAFFIC STRIPE.
Location Description: SHASTA COUNTY NEAR ROUND MOUNTAIN FROM 0.9 MILE WEST OF SEAMAN GULCH ROAD TO 1.6 MILES EAST OF LIMESTONE QUARRY ROAD
Contractor Name: AMERICAN PAVEMENT SYSTEMS, INC.
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown
DIME Sample ID: 2024-08-12-58
TL Number from the TL Form: 848603
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: 08/12/2024
Date that the sample was received by the laboratory/organization performing the testing: 08/21/2024
The quantity of what the sample constitutes: 1 JUG
A brief description of the sample: SS-1H
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: American Pavement Systems
DIME Test ID: 2024-08-12-58-1
Test Method: AASHTO T59-22: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
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
Data has not been verified.
DIME Test ID: 2024-08-12-58-2
Test Method: AASHTO T59-22: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 08/26/2024
Date Tested: 08/26/2024
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: if SS1H is pure (100%), it does not meet minimum of 57%, TL101 lacks residue details
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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4
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Beaker 1 Residue
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32 %
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Beaker 2 Residue
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32.2 %
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Beaker 3 Residue
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32.8 %
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Beaker 4 Residue
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32.8 %
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Percentage of residue
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32 %
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