Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
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
DIME Sample ID: 2021-06-25-14
TL Number from the TL Form: 990939
Sample Submitted By Organization: CT D02 - Redding Northern Regional Laboratory
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
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
Reclaimed Asphalt Pavement Mix Number:
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 (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.
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 - 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: 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 - 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.
