Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993310 DEA: 020J3804 EFIS: 0219000111
QA Service Level: 1
DIST-CO-RTE-PM: 02-LAS-36-R20.5/22.8
Work Description: EXPAND EXISTING BRAKE CHECK AREA AND HMA PAVING.
Location Description: LASSEN COUNTY NEAR SUSANVILLE AT 1.3 MILES EAST OF ROUTE 44 AND FROM 0.1 MILE EAST OF EAGLE LAKE ROAD TO 1.3 MILES WEST OF HARRIS DRIVE
Contractor Name: J F SHEA CONSTRUCTION INC
Contractor Address: 17400 CLEAR CREEK ROAD, REDDING, CA 96001
Resident Engineer: Daniel Gibbs Structure Rep.: Unknown
DIME Sample ID: 2022-05-04-32
TL Number from the TL Form: 898177
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: 05/04/2022
Date that the sample was received by the laboratory/organization performing the testing: 05/05/2022
The quantity of what the sample constitutes: JMF Verification
A brief description of the sample: 3/8-Inch RAP
From where was the sample collected: Manufacturer
Laboratory sample identification: D79024
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Hat Creek Construction, Ward Lake Plant, Litchfield, CA
RAP Source: Hat Creek Construction and Materials, Ward Lake Facility, Litchfield, CA
Aggregate Size: 3/8-inch
Aggregate Source:
RAP Stockpile: Continuous
Stockpile Size (tons):
Reclaimed Asphalt Pavement Mix Number:
DIME Test ID: 2022-05-04-32-1
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 - 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: 2022-05-04-32-2
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: 2022-05-04-32-3
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.
