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Sample Record for 2018-04-18-2

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

Project Information

Project ID: 212886 DEA: 023H1204 QA Service Level: 1
DIST-CO-RTE-PM: 02-TEH-5-R0.0/R22.4
Work Description: COLD PLANE RAC-O, PLACE RHMA-O, REPLACE AC SURFACING, MBGR
Location Description: TEHAMA COUNTY AT AND NEAR CORNING FROM GLENN COUNTY LINE TO 0.3 MILE NORTH OF BRANCH COYOTE CREEK BRIDGE
Contractor Name: TULLIS INC
Contractor Address: P O BOX 493416, REDDING CA 96049
Resident Engineer: Henry Benner Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2018-04-18-2
TL Number from the TL Form: TL101 C896051
Sample Submitted By Organization: CT D02 - North Region Materials Lab
Sample Organization Contact: (530) 225-3194
Type of Sample: Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 04/18/2018
Date that the sample was received by the laboratory/organization performing the testing: 04/19/2018
The quantity of what the sample constitutes: PSE
A brief description of the sample: 3/4-inch A HMA 15rap PG64-28pm
From where was the sample collected: Manufacturer
Laboratory sample identification: D77333
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Tullis Inc - Northstate Asphalt - Redding, CA

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number:
Sublot number:

Test Results

Test 1 of 6

DIME Test ID: 2018-04-18-2-1
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 - North Region Materials Lab
Organization Address: 1657 Riverside Drive, MS-83,
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.

Test 2 of 6

DIME Test ID: 2018-04-18-2-2
Test Method: AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)
Submitted By Organization: CT D02 - North Region Materials Lab
Organization Address: 1657 Riverside Drive, MS-83,
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.

Test 3 of 6

DIME Test ID: 2018-04-18-2-3
Test Method: AASHTO T275-07r12: Standard Method of Test for Bulk Specific Gravity (Gmb) of Compacted Asphalt Mixtures Using Paraffin-Coated Specimens (Bulk Specific Gravity)
Submitted By Organization: CT D02 - North Region Materials Lab
Organization Address: 1657 Riverside Drive, MS-83,
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.

Test 4 of 6

DIME Test ID: 2018-04-18-2-4
Test Method: AASHTO T308-10: Standard Method of Test for Determining the Asphalt Binder Content of Hot Mix Asphalt (HMA) by the Ignition Method (Asphalt Binder Content)
Submitted By Organization: CT D02 - North Region Materials Lab
Organization Address: 1657 Riverside Drive, MS-83,
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.

Test 5 of 6

DIME Test ID: 2018-04-18-2-5
Test Method: AASHTO T324-14: Standard Method of Test for Hamburg Wheel-Track Testing of Compacted Asphalt Mixtures (Hamburg Wheel Track)
Submitted By Organization: CT D02 - North Region Materials Lab
Organization Address: 1657 Riverside Drive, MS-83,
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.

Test 6 of 6

DIME Test ID: 2018-04-18-2-6
Test Method: AASHTO T283-14: Standard Method of Test for Resistance of Compacted Asphalt Mixtures to Moisture-Induced Damage (Moisture Content)
Submitted By Organization: CT D02 - North Region Materials Lab
Organization Address: 1657 Riverside Drive, MS-83,
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.

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.