Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 212784 DEA: 023H1504 EFIS: 0217000064
QA Service Level: 1
DIST-CO-RTE-PM: 02-LAS-299-0.0/4.7
Work Description: AC OVERLAY, REPLACE ASPHALT CONCRETE SURFACING AND GUARDRAIL.
Location Description: LASSEN COUNTY NEAR MCARTHUR FROM SHASTA COUNTY LINE TO 4.0 MILES WEST OF MUCK VALLEY HYDRO ROAD.
Contractor Name: J.F. SHEA CONSTRUCTION, INC.
Contractor Address: 17400 Clearcreek Road, Redding, CA 96001
Resident Engineer: Tofael Anwar Structure Rep.: Unknown
DIME Sample ID: 2018-05-29-9
TL Number from the TL Form: T101 C736678
Sample Submitted By Organization: CT D02 - Redding Northern Regional Laboratory
Sample Organization Contact: (530) 225-3194
Type of Sample: Department Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 05/29/2018
Date that the sample was received by the laboratory/organization performing the testing: 05/31/2018
The quantity of what the sample constitutes: 2 boxs
A brief description of the sample: 3/4HMA A 25rap PG58-34m Valero
From where was the sample collected: Manufacturer
Laboratory sample identification: D77428
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: JF Shea Fawndale
DIME Test ID: 2018-05-29-9-1
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 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.
