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Sample Record for 2018-07-11-3

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Project Information

Project ID: 213059 DEA: 023H2204 EFIS: 0217000071 QA Service Level: 1
DIST-CO-RTE-PM: 02-TEH,BUT-32-0.0/2.7,D2.7/D4.7,4.7/5.0
Work Description: PLACE HMA OVERLAY, SHOULDER BACKING, GUARDRAIL & REPLACE AC SURFACING.
Location Description: BUTTE AND TEHAMA COUNTIES FROM BUTTE COUNTY LINE TO 1.6 MILES EAST OF SODA SPRINGS ROAD
Contractor Name: KNIFE RIVER CONSTRUCTION
Contractor Address: 1764 SKYWAY, CHICO, CA 95928
Resident Engineer: Ryan Johnson Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2018-07-11-3
TL Number from the TL Form: T101 C894781
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: 07/11/2018
Date that the sample was received by the laboratory/organization performing the testing: 07/11/2018
The quantity of what the sample constitutes: 4 boxs
A brief description of the sample: 3/4 HMA A 15 rap PG64-28m Valero
From where was the sample collected: Manufacturer
Laboratory sample identification: D77536
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Knife River, Orland

Material Information

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

Test Results

Test 1 of 3

DIME Test ID: 2018-07-11-3-1
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.

Test 2 of 3

DIME Test ID: 2018-07-11-3-2
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 - 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.

Test 3 of 3

DIME Test ID: 2018-07-11-3-3
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 - 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.