Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
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
DIME Sample ID: 2018-07-26-12
TL Number from the TL Form: T101 C990925
Sample Submitted By Organization: CT D02 - Redding Northern Regional Laboratory
Sample Organization Contact: (530) 225-3194
Type of Sample: Department Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 07/26/2018
Date that the sample was received by the laboratory/organization performing the testing: 08/03/2018
The quantity of what the sample constitutes: 1 Can
A brief description of the sample: PSE 1/2 RHMA-O PG64-16 Valero
From where was the sample collected: Manufacturer
Laboratory sample identification: D77592
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Tullis Northstate Asphalt
DIME Test ID: 2018-07-26-12-1
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.