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Sample Record for 2024-05-28-81

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

Project Information

Project ID: 215240 DEA: 021H6804 EFIS: 0216000010 QA Service Level: 1
DIST-CO-RTE-PM: 02-TEH-5-39/41.9
Work Description: SB Cottonwood Scales
Location Description:
Contractor Name: McCuen Construction, Inc.
Contractor Address: 3269 Swetzer Road, Loomis, CA,95690
Resident Engineer: Edward Worden Structure Rep.: Chris Brace

Sample Information

DIME Sample ID: 2024-05-28-81
TL Number from the TL Form: 035794
Sample Submitted By Organization: CT D02 - Redding Northern Regional Laboratory
Sample Organization Contact: (530) 225-3194
Type of Sample: Production Start-Up
Type of Material: Aggregate
Sample Taken Date: 05/28/2024
Date that the sample was received by the laboratory/organization performing the testing: 05/28/2024
The quantity of what the sample constitutes: Production Start-Up Evaluation
A brief description of the sample: 3 bags of Combined Lime Treated 3/4-inch Virgin Aggregate
From where was the sample collected: Manufacturer
Laboratory sample identification: D79556A
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Tullis — Northstate Asphalt (Redding, CA)

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-45-0057::Shasta Ranch Aggregates (Anderson, CA)
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: Cold Feed
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:
Test results on following page(s): 3

Test Results

Test 1 of 3

DIME Test ID: 2024-05-28-81-1
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, MS-83,
Organization City: Redding
Organization State: CA
Organization Zipcode: 96001
Organization Email: ward.jenkins@dot.ca.gov
Organization Phone: (530) 225-3194
This test has been superseded on 02/04/2025. The corrected test ID is: 2024-05-28-81-2
Reason: corrected

Test 2 of 3

DIME Test ID: 2024-05-28-81-2
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, MS-83,
Organization City: Redding
Organization State: CA
Organization Zipcode: 96001
Organization Email: ward.jenkins@dot.ca.gov
Organization Phone: (530) 225-3194
This test has been superseded on 02/04/2025. The corrected test ID is: 2024-05-28-81-3
Reason: corrected

Test 3 of 3

DIME Test ID: 2024-05-28-81-3
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 02/04/2025
Date Tested: 02/04/2025
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: All data re-entered. Data appeared to be correct in the previous attempt, but all coarse sieves displayed 100% passing in later reports.
The test was superseded from test ID: 2024-05-28-81-2
Test Result Compliance: not applicable
Additional Comments When Verified:
What type of gradation is being tested? Combined Gradation
Cumulative percent passing the 2 in. sieve 100 %
Cumulative percent passing the 1 1/2 in. sieve 100 %
Cumulative percent passing the 1 in. sieve 100 %
Cumulative percent passing the 3/4 in. sieve 100 %
Cumulative percent passing the 1/2 in. sieve 90 %
Cumulative percent passing the 3/8 in. sieve 69 %
Cumulative percent passing the #4 sieve 40 %
Cumulative percent passing the #8 sieve 25 %
Cumulative percent passing the #16 sieve 17 %
Cumulative percent passing the #30 sieve 12 %
Cumulative percent passing the #50 sieve 9 %
Cumulative percent passing the #100 sieve 6 %
Cumulative percent passing the #200 sieve 4.8 %