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Sample Record for 2021-06-02-15

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 215245 DEA: 021J4504 EFIS: 0220000080 QA Service Level: 1
DIST-CO-RTE-PM: 02-SIS-89-14.0/19.0
Work Description: PLACE HMA (TYPE A).
Location Description: SISKIYOU COUNTY ABOUT 6 MILES NORTH OF BARTLE FROM 0.4 MILE NORTH OF EDISON CREEK ACCESS ROAD TO 2.0 MILES SOUTH OF MUD CREEK BRIDGE
Contractor Name: S.T. Rhoades Construction
Contractor Address: 8585 Commercial Way, Redding, CA 96002
Resident Engineer: Austin Henry Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-06-02-15
TL Number from the TL Form: 858981
Sample Submitted By Organization: CT D02 - North Region Materials Lab
Sample Organization Contact: (530) 225-3194
Type of Sample: Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 06/02/2021
Date that the sample was received by the laboratory/organization performing the testing: 06/02/2021
The quantity of what the sample constitutes: PSE 16 boxs
A brief description of the sample: 3/8 Type A HMA 25 RAP PG 58 34m Valero Benecia
From where was the sample collected: Manufacturer
Laboratory sample identification: D78818
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: JF Shea Construction, Fawndale Rock and Asphalt, Redding, CA

Material Information

HMA Type: Type A HMA
HMA Grading: 3/8 inch
Lot number: Unknown
Sublot number: Unknown

Test Results

Test 1 of 4

DIME Test ID: 2021-06-02-15-1
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 - North Region Materials Lab
Organization Address: 1657 Riverside Dr,MS-83
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 4

DIME Test ID: 2021-06-02-15-2
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 - North Region Materials Lab
Organization Address: 1657 Riverside Dr,MS-83
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 3 of 4

DIME Test ID: 2021-06-02-15-3
Test Method: AASHTO T308-10: Standard Method of Test for Determining the Asphalt Binder Content of Hot Mix Asphalt (HMA) by the Ignition Method (Asphalt Binder Content)
Submitted By Organization: CT D02 - North Region Materials Lab
Organization Address: 1657 Riverside Dr,MS-83
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 4 of 4

DIME Test ID: 2021-06-02-15-4
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 - North Region Materials Lab
Organization Address: 1657 Riverside Dr,MS-83
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.

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.