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Sample Record for 2024-12-10-23

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 1000854 DEA: 010M7104 EFIS: 0123000058 QA Service Level: 1
DIST-CO-RTE-PM: 01-DN-101-46.18
Work Description: Resurface Smith River Agricultural Inspection Station
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2024-12-10-23
TL Number from the TL Form:
Sample Submitted By Organization: CT D01 - Crescent City Field Laboratory
Sample Organization Contact: (707) 496-5581
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 12/10/2024
Date that the sample was received by the laboratory/organization performing the testing: 12/10/2024
The quantity of what the sample constitutes: 750 Tons
A brief description of the sample: half inch HMA Type A
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name: 101/AGG/STATION
The fabricator/manufacturer/facility name: Tidewater Smith River

Material Information

HMA Type: Type A HMA
HMA Grading: 1/2 inch
Lot number:
Sublot number:
HMA Mix Number:
Binder content (%):
Virgin binder PG:
Design binder PG:
Binder Supplier:
RAP content (%):
WMA Additives:
Antistrip type:
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2024-12-10-23-1
Test Method: AASHTO T308-10: Standard Method of Test for Determining the Asphalt Binder Content of Hot Mix Asphalt (HMA) by the Ignition Method (Method A) (Asphalt Binder Content)
Submitted By Organization: CT D01 - Crescent City Field Laboratory
Organization Address: 1444 Parkway Dr.,
Organization City: Crescent City
Organization State: CA
Organization Zipcode: 95531
Organization Email: clayton.malmberg@dot.ca.gov
Organization Phone: (707) 496-5581
Data has not been verified.