Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 215601 DEA: 024H3404 EFIS: 0218000109
QA Service Level: 1
DIST-CO-RTE-PM: 02-TRI-299-5.2/5.7
Work Description: INSTALL LEFT TURN LANE.
Location Description: TRINITY COUNTY NEAR SALYER FROM 0.3 MILE WEST OF DENNY ROAD TO 0.2 MILE WEST OF PONY BAR CREEK BRIDGE
Contractor Name: MERCER-FRASER COMPANY
Contractor Address: 77 2nd St, Eureka, CA 95501
Resident Engineer: Joel Gasik Structure Rep.: Unknown
DIME Sample ID: 2021-11-12-19
TL Number from the TL Form: 695663
Sample Submitted By Organization: CT D02 - Redding Northern Regional Laboratory
Sample Organization Contact: (530) 225-3194
Type of Sample: Department Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 11/12/2021
Date that the sample was received by the laboratory/organization performing the testing: 11/13/2021
The quantity of what the sample constitutes: 750 Tons
A brief description of the sample: Lime Treated 1/2-Inch Type A HMA (PG 64-28 M) with binder from Valero - Benicia
From where was the sample collected: Manufacturer
Laboratory sample identification: D78978
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Mercer-Fraser - Willow Creek Plant - Willow Creek, CA
DIME Test ID: 2021-11-12-19-1
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)
Verified Date: 11/19/2021
Date Tested: 11/11/2021
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
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
What temperature unit is used?
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Fahrenheit
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Test procedure used?
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no data
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Mass of HMA Sample prior to ignition
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no data
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Corrected Asphalt Binder Content
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5.26 %
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Mass Loss
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no data
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Correction Factor (Percent by mass of HMA Specimen)
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0.57 %
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Moisture Content
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no data
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Temperature Compensation Factor
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no data
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Test Temperature
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no data
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