Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214478 DEA: 034H6604 EFIS: 0319000019
QA Service Level: 1
DIST-CO-RTE-PM: 03-PLA-80-32.7/33.0
Work Description: WIDEN PAVEMENT WITH AB AND HMA, AND MODIFY ELECTRICAL.
Location Description: PLACER COUNTY IN COLFAX FROM THE SOUTH AUBURN ROAD WESTBOUND ONRAMP TO 0.3 MILE SOUTH OF THE SOUTH AUBURN ROAD WESTBOUND ONRAMP
Contractor Name: BALDWIN CONTRACTING CO., INC. DBA KNIFE RIVER CONSTRUCTION
Contractor Address: 1764 Skyway, CHICO, CA 95928
Resident Engineer: Tad Sampson Structure Rep.: Unknown
DIME Sample ID: 2020-04-30-17
TL Number from the TL Form: 764800
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: 04/30/2020
Date that the sample was received by the laboratory/organization performing the testing: 05/05/2020
The quantity of what the sample constitutes: 2 bottles
A brief description of the sample: Emulsion
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Pacific Northwest Oil - Stockton, CA
DIME Test ID: 2020-04-30-17-1
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Residue and Oil Distillate (Sec. 6))
Verified Date: 05/07/2020
Date Tested: 05/07/2020
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:
Additional Comments When Verified:
What parameters are being calculated?
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Percentage of oil residue
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Is this a polymer-modified emulsion
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Yes
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Percentage of oil residue
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59.5 %
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