Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 212536 DEA: 020H2004 EFIS: 0214000143
QA Service Level: 1
DIST-CO-RTE-PM: 02-TEH-32-8.6/9.3
Work Description: RECONSTRUCT ROADWAY WITH HMA AND AB, AND CULVERTS AND GUARDRAIL
Location Description: TEHAMA COUNTY ABOUT 35 MILES EAST OF CHICO FROM 0.2 MILE WEST TO 0.5 MILE EAST OF DIAMOND MATCH HAUL ROAD
Contractor Name: KNIFE RIVER CONSTRUCTION
Contractor Address: 1764 SKYWAY, CHICO, CA 95928
Resident Engineer: Ryan Johnson Structure Rep.: Unknown
DIME Sample ID: 2018-07-19-17
TL Number from the TL Form: T101 C894787
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: 07/19/2018
Date that the sample was received by the laboratory/organization performing the testing: 07/19/2018
The quantity of what the sample constitutes: 1 box
A brief description of the sample: 3/4 HMA A 15 rap PG 64-28m Valero
From where was the sample collected: Manufacturer
Laboratory sample identification: D77562
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Knife River, Orland
DIME Test ID: 2018-07-19-17-1
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.
DIME Test ID: 2018-07-19-17-2
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 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.
