Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000697 DEA: 021J75U4 EFIS: 0224000092
QA Service Level: 1
DIST-CO-RTE-PM: 02-LAS-36-14.4/R16.8
Work Description: PLACE HMA AND CLASS 2 AB, EXCAVATE ROADWAY, & INSTALL LIGHTING SYSTEM.
Location Description: LASSEN COUNTY ABOUT 9 MILES WEST OF SUSANVILLE FROM 1.3 MILES WEST TO 1.2 MILES EAST OF WILLARD CREEK ROAD
Contractor Name: HAT CREEK CONSTRUCTION & MATERIALS, INC.
Contractor Address: HAT CREEK CONSTRUCTION & MATERIALS, INC. 24339 Hwy 89 North, burney, CA, 96013
Resident Engineer: Daniel Gibbs Structure Rep.: Unknown
DIME Sample ID: 2026-07-29-76
TL Number from the TL Form: 845879
Sample Submitted By Organization: CT D02 - Redding Northern Regional Laboratory
Sample Organization Contact: (530) 225-3194
Type of Sample: Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 07/29/2026
Date that the sample was received by the laboratory/organization performing the testing: 07/29/2026
The quantity of what the sample constitutes: 10K Milestone, 980 Tons
A brief description of the sample: 16 boxes of Lime Treated 3/4-inch Type A HMA (eq. PG 64-28) with 22.0% RAP and virgin PG 58-34 binder from Albina (K-Falls)
From where was the sample collected: Manufacturer
Laboratory sample identification: D80317
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Hat Creek Construction and Materials - Ward Lake Plant (Litchfield, CA)
HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number:
Sublot number:
HMA Mix Number:
Binder content (%): 5.7
Virgin binder PG: PG 64-28
Design binder PG:
Binder Supplier: Albina (K-Falls
RAP content (%): 22
WMA Additives:
Antistrip type: 1.0% Lime
DIME Test ID: 2026-07-29-76-1
Test Method: AASHTO T209-12: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)
Submitted By Organization: CT D02 - Redding Northern Regional Laboratory
Organization Address: 1657 Riverside Drive,
Organization City: Redding
Organization State: CA
Organization Zipcode: 96001
Organization Email: ward.jenkins@dot.ca.gov
Organization Phone: 530-225-3194
Data has not been verified.
