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Sample Record for 2021-06-25-14

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

Project Information

Project ID: 215624 DEA: 020J4004 EFIS: 0219000115 QA Service Level: 1
DIST-CO-RTE-PM: 02-SIS-161-17.5/18.5
Work Description: FULL DEPTH RECLAMATION - CEMENT AND PLACE HMA.
Location Description: SISKIYOU COUNTY NEAR TULELAKE FROM 0.3 MILE EAST OF MALONE ROAD TO 1.2 MILES EAST OF HILL ROAD
Contractor Name: Hat Creek Construction
Contractor Address: 24339 Highway 89 N, Burney, CA 96013
Resident Engineer: Austin Henry Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-06-25-14
TL Number from the TL Form: 990939
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: 06/25/2021
Date that the sample was received by the laboratory/organization performing the testing: 06/25/2021
The quantity of what the sample constitutes: PSE 1 Bag at 280 Tons
A brief description of the sample: 3/8 Inch RAP
From where was the sample collected: Manufacturer
Laboratory sample identification: D78868
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Hat Creek Construction and Materials - Shaw Pit Facility - Lookout, CA

Material Information

RAP Source: Hat Creek Construction and Materials, Shaw Pit Facility, Lookout, CA
Aggregate Size: 3/8 Inch
Aggregate Source: Unknown
RAP Stockpile: Continuous
Stockpile Size (tons): Unknown

Test Results

Test 1 of 3

DIME Test ID: 2021-06-25-14-1
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 2 of 3

DIME Test ID: 2021-06-25-14-2
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: 2021-06-25-14-3
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.

Tests Assigned to this Sample

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