Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994345 DEA: 023J7804 EFIS: 0222000083
QA Service Level: 1
DIST-CO-RTE-PM: 02-TRI-36-15.8/16.9,20.5/24.5
Work Description: PLACE HOT MIX ASPHALT (TYPE A) AND REPLACE ASPHALT CONCRETE SURFACING.
Location Description: TRINITY COUNTY NEAR FOREST GLEN FROM 1.1 MILES WEST OF SOUTH FORK TRINITY RIVER BRIDGE TO SOUTH FORK TRINITY RIVER BRIDGE NO. 05-0026 AND FROM UPPER RATTLESNAKE CREEK BRIDGE NO. 05-0073 TO 0.3 MILE WEST OF TRINITY PINES ROAD
Contractor Name: TULLIS INC.
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown
DIME Sample ID: 2023-06-06-24
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Materials Management Branch Field Office
Sample Organization Contact: (562) 500-5861
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 06/06/2023
Date that the sample was received by the laboratory/organization performing the testing: 06/06/2023
The quantity of what the sample constitutes: 40 tons
A brief description of the sample: 1/2 inch HMA-A 25% RAP
From where was the sample collected: Manufacturer
Laboratory sample identification: lot 1 subl 2
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Tullis Inc. - Northstate Asphalt (Redding CA)
DIME Test ID: 2023-06-06-24-2
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 HQ - Sacramento Materials Management Branch Field Office
Organization Address: 5900 Folsom Boulevard, MS 5,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: brett.soldano@dot.ca.gov
Organization Phone: (562) 500-5861
Data has not been verified.
