Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 212574 DEA: 02368414 EFIS: 0215000066
QA Service Level: 1
DIST-CO-RTE-PM: 02-SHA-44-R4.6/R6.4
Work Description: CONSTRUCT OVERCROSSING, WIDEN WITH HMA AND AB, AND OVERLAY WITH HMA
Location Description: SHASTA COUNTY NEAR PALO CEDRO FROM CLOUGH CREEK BRIDGE TO 0.6 MILE WEST OF DESCHUTES ROAD UNDERCROSSING
Contractor Name: TULLIS, INC.
Contractor Address: P O BOX 493416, REDDING CA 96049
Resident Engineer: Nathan Alexander Structure Rep.: Chaffie Eric
DIME Sample ID: 2018-08-03-6
TL Number from the TL Form: T101 C002179
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: 08/03/2018
Date that the sample was received by the laboratory/organization performing the testing: 08/06/2018
The quantity of what the sample constitutes: PSE 16 boxs
A brief description of the sample: 1/2 HMA A 15rap PG64-28pm Valero
From where was the sample collected: Manufacturer
Laboratory sample identification: D77598
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Tullis Northstate Asphalt
DIME Test ID: 2018-08-03-6-1
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: 2018-08-03-6-3
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.
DIME Test ID: 2018-08-03-6-4
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.
DIME Test ID: 2018-08-03-6-5
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.
DIME Test ID: 2018-08-03-6-6
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 - 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: 2018-08-03-6-7
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 - 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.
