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: 2024-08-26-52
TL Number from the TL Form: C023433
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: 08/26/2024
Date that the sample was received by the laboratory/organization performing the testing: 09/03/2024
The quantity of what the sample constitutes: 1 Can
A brief description of the sample: TACK OIL 3/4 HMA PG 64-28 M
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: PACIFIC NORTH WEST OIL
DIME Test ID: 2024-08-26-52-1
Test Method: AASHTO T59-22: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 09/05/2024
Date Tested: 09/05/2024
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:
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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59.2 %
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Beaker 2 Residue
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59.2 %
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Percentage of residue
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59 %
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