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Sample Record for 2021-06-14-33

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

Project Information

Project ID: 215250 DEA: 021J4404 EFIS: 0220000079 QA Service Level: 1
DIST-CO-RTE-PM: 02-MOD-299-20.0/23.1,23.5/24.5,33.5/37.5
Work Description: ASPHALT RUBBER CHIP SEAL.
Location Description: MODOC COUNTY AT VARIOUS LOCATIONS FROM 1.8 MILES WEST OF ROUTE 139 TO 0.3 MILE WEST OF RATTLESNAKE CREEK BRIDGE
Contractor Name: AMERICAN PAVEMENT SYSTEMS , Inc.
Contractor Address: 1012 11th Street, Modesto, CA 95354
Resident Engineer: Tofael Anwar Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-06-14-33
TL Number from the TL Form: 853348
Sample Submitted By Organization: CT D02 - North Region Materials Lab
Sample Organization Contact: (530) 225-3194
Type of Sample: Acceptance
Type of Material: Reclaimed Asphalt Pavement
Sample Taken Date: 06/14/2021
Date that the sample was received by the laboratory/organization performing the testing: 06/15/2021
The quantity of what the sample constitutes: PSE 1 Bag RAP
A brief description of the sample: RAP from batch plant for use in 1/2 inch HMA
From where was the sample collected: Manufacturer
Laboratory sample identification: D78844
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Eagle Peak Rock, Alturas, CA

Material Information

RAP Source: Eagle Peak
Aggregate Size: 1/2 Inch
Aggregate Source: Eagle Peak
RAP Stockpile: Continuous
Stockpile Size (tons): Unknown

Test Results

Test 1 of 3

DIME Test ID: 2021-06-14-33-1
Test Method: AASHTO T30-19: Standard Method of Test for Mechanical Analysis of Extracted Aggregate (Mechanical Analysis)
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 3

DIME Test ID: 2021-06-14-33-2
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 3 of 3

DIME Test ID: 2021-06-14-33-3
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.

Tests Assigned to this Sample

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