Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
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
DIME Sample ID: 2022-06-13-33
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: Acceptance
Type of Material: Reclaimed Asphalt Pavement
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: Combined RAP
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)
RAP Source: Fawndale Rock and Asphalt, Redding, CA
Aggregate Size: 1/2 inch
Aggregate Source:
RAP Stockpile:
Stockpile Size (tons):
Reclaimed Asphalt Pavement Mix Number:
DIME Test ID: 2022-06-13-33-1
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: 2022-06-13-33-2
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: 2022-06-13-33-3
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.
