Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 212968 DEA: 020H0904 EFIS: 0217000101
QA Service Level: 1
DIST-CO-RTE-PM: 02-TRI-3-11.0/27.0
Work Description: AC OVERLAY, REPLACE AC SURFACING, SHOULDER BACKING, GUARDRAILING
Location Description: TRINITY COUNTY NEAR HAYFORK FROM 1.2 MILES NORTH OF EAST ROAD TO 0.8 MILE SOUTH OF DEER LICK SPRINGS ROAD
Contractor Name: J.F. Shea Construction, Inc.
Contractor Address: 17400 Clear Creek Road, Redding, CA 96001
Resident Engineer: Sergio Mendoza Structure Rep.: Unknown
DIME Sample ID: 2018-09-26-7
TL Number from the TL Form: T101 C002224
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: 09/26/2018
Date that the sample was received by the laboratory/organization performing the testing: 09/26/2018
The quantity of what the sample constitutes: 4 boxs
A brief description of the sample: 3/4 HMA A 25 rap PG 58-34
From where was the sample collected: Manufacturer
Laboratory sample identification: D77663
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: JF Shea Fawndale
DIME Test ID: 2018-09-26-7-1
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: 2018-09-26-7-2
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.