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Sample Record for 2018-10-12-3

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Project Information

Project ID: 213134 DEA: 024F77U4 EFIS: 0217000022 QA Service Level: 1
DIST-CO-RTE-PM: 02-MOD-299-23.1/23.6, 24.5/33.5
Work Description: BRIDGE REPLACE, ROADWAY REHAB/FULL DEPTH RECLAMATION-CEMENT + HMA
Location Description: MODOC COUNTY ABOUT 6 MILES WEST OF ALTURAS FROM 0.3 MILE WEST TO 0.3 MILE EAST OF CALDWELL CREEK BRIDGE AND 1.1 MILES EAST OF CALDWELL CREEK BRIDGE TO 1.7 MILES WEST OF COUNTY ROAD 75
Contractor Name: Hat Creek Construction & Materials, Incorporated
Contractor Address: 24339 Highway 89 N, Burney, CA 96013
Resident Engineer: Mike Zdenek Structure Rep.: Ryan Duran

Sample Information

DIME Sample ID: 2018-10-12-3
TL Number from the TL Form: T101 C853308
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: 10/12/2018
Date that the sample was received by the laboratory/organization performing the testing: 10/16/2018
The quantity of what the sample constitutes: Street sample 2 boxs
A brief description of the sample: 3/4-inch Type A HMA 15 rap PG 64-28m Albina
From where was the sample collected: Manufacturer
Laboratory sample identification: D77711
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Hat Creek - Shaw Pit Facility

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number:
Sublot number:
HMA Mix Number:

Test Results

Test 1 of 2

DIME Test ID: 2018-10-12-3-1
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.

Test 2 of 2

DIME Test ID: 2018-10-12-3-3
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.