Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 211705 DEA: 024G3804 EFIS: 0214000006
QA Service Level: 1
DIST-CO-RTE-PM: 02-TRI-299-0.0/8.3
Work Description: PLACE RUBBERIZED HOT MIX ASPHALT, GUARDRAIL, AND SOME DRAINAGE
Location Description: TRINITY COUNTY AT AND NEAR SALYER FROM HUMBOLDT COUNTY LINE TO 0.6 MILE EAST OF GRAY CREEK ROAD
Contractor Name: MERCER-FRASER COMPANY
Contractor Address: Unknown
Resident Engineer: MANDHIR GREWAL Structure Rep.: Unknown
DIME Sample ID: 2018-05-15-32
TL Number from the TL Form: T101 C002137
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: 05/15/2018
Date that the sample was received by the laboratory/organization performing the testing: 05/16/2018
The quantity of what the sample constitutes: 5 cans
A brief description of the sample: JMF 1/2 RHMA-O PG64-16cr
From where was the sample collected: Manufacturer
Laboratory sample identification: D77398
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Mercer Fraser Willow Crk
DIME Test ID: 2018-05-15-32-1
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.
