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Sample Record for 2022-06-13-32

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

Project Information

Project ID: 993343 DEA: 022J3604 EFIS: 0221000070 QA Service Level: 1
DIST-CO-RTE-PM: 02-TEH-36-67.5/R75.1
Work Description: ASPHALT-RUBBER BINDER, SEAL COAT & REPLACE ASPHALT CONCRETE SURFACING.
Location Description: TEHAMA COUNTY NEAR MINERAL FROM 0.2 MILE EAST OF LATKA ROAD TO 0.1 MILE EAST OF LITTLE GIANT MILL ROAD
Contractor Name: VSS International
Contractor Address: 3785 Channel Drive, West Sacramento, CA 95691
Resident Engineer: Mike Zdenek Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2022-06-13-32
TL Number from the TL Form: 708124
Sample Submitted By Organization: CT D02 - Redding Northern Regional Laboratory
Sample Organization Contact: (530) 225-3194
Type of Sample: Department Acceptance
Type of Material: Aggregate
Sample Taken Date: 06/13/2022
Date that the sample was received by the laboratory/organization performing the testing: 06/13/2022
The quantity of what the sample constitutes: Production Start-Up Evaluation
A brief description of the sample: Lime Treated 1/2-Inch Coldfeed
From where was the sample collected: Manufacturer
Laboratory sample identification: D79051
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Tullis Inc. - Northstate Asphalt (Redding CA)

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-45-0017
The fabricator's/manufacturer's product name for the sample:
The fabricator/manufacturer designation for the sample:
The plant number:
A detailed description of where the material sample was collected: Plant Sampler
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 1/2 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:

Test Results

Test 1 of 1

DIME Test ID: 2022-06-13-32-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve 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.