Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 995031 DEA: 023H82U4 EFIS: 0223000011
QA Service Level: 1
DIST-CO-RTE-PM: 02-LAS-44-0.0/37.2
Work Description: REPLACE AC SURFACING, PLACE RHMA, HMA, THERMOPLASTIC TRAFFIC STRIPE.
Location Description: LASSEN COUNTY ABOUT 9 MILES EAST OF OLD STATION FROM SHASTA COUNTY LINE TO ROUTE 36
Contractor Name: HAT CREEK CONSTRUCTION & MATERIALS, INC.
Contractor Address: 24339 Hwy 89 N, Burney, CA 96013
Resident Engineer: Edward Worden Structure Rep.: Unknown
DIME Sample ID: 2024-06-14-74
TL Number from the TL Form: 692894
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: 06/14/2024
Date that the sample was received by the laboratory/organization performing the testing: 06/27/2024
The quantity of what the sample constitutes: 135 Tons
A brief description of the sample: 1 box of Lime Treated 3/4-inch Type A HMA
From where was the sample collected: Manufacturer
Laboratory sample identification: D79605
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Hat Creek - Ward Lake
DIME Test ID: 2024-06-14-74-1
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.
