Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 215155 MINOR: 06A2633
QA Service Level: 1
DIST-CO-RTE-PM: 06-FRE-245-3.8
Work Description: Pinehurst Maintenance Station
Location Description: Fresno County
Contractor Name: Avison Construction, Inc.
Contractor Address: 40434 Brickyard Drive, Madera, CA 93636
Resident Engineer: Don Hiura Structure Rep.: Unknown
DIME Sample ID: 2020-10-14-24
TL Number from the TL Form: 813694
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: 10/14/2020
Date that the sample was received by the laboratory/organization performing the testing: 10/23/2020
The quantity of what the sample constitutes: 1 jar MSE Slurry soal/ microsurfacing
A brief description of the sample: Asphaltic Emulsion Tack Coat
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Avison Construction
DIME Test ID: 2020-10-14-24-1
Test Method: AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
Verified Date: 10/26/2020
Date Tested: 10/26/2020
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:
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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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51.6 %
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Beaker 2 Residue
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51.4 %
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Beaker 3 Residue
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51.4 %
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Beaker 4 Residue
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51.2 %
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Percentage of residue
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51.4 %
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