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Sample Record for 2025-04-17-42

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

Project Information

Project ID: 1001208 DEA: 022K6204 EFIS: 0225000120 QA Service Level: 1
DIST-CO-RTE-PM: 02-SIS-96-46.6/46.6
Work Description: Siskiyou 96 Potential Landslide DO Storm Damage
Location Description: IN SISKIYOU COUNTY NEAR HAPPY CAMP AT 2.3 MILES EAST OF GORDONS FERRY ROAD
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Nicholas Riddle Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2025-04-17-42
TL Number from the TL Form: 823565B
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: 04/17/2025
Date that the sample was received by the laboratory/organization performing the testing: 04/17/2025
The quantity of what the sample constitutes: Production Start-Up Evaluation and Annual Soundness Testing
A brief description of the sample: 2 Bags of 3/8-inch Untreated Sized Virgin Aggregate
From where was the sample collected: Manufacturer
Laboratory sample identification: D79855B
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: J.F. Shea Construction — Fawndale Rock and Asphalt (Redding, CA)

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-45-0017::Fawndale Rock Quarry (Redding, 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: Stockpile
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/8 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:

Test Results

Test 1 of 2

DIME Test ID: 2025-04-17-42-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 05/02/2025
Date Tested: 04/21/2025
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:
Test Result Compliance: not applicable
Additional Comments When Verified:
What type of gradation is being tested? HMA Gradation
Cumulative percent passing the 2 in. sieve no data
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 100 %
Cumulative percent passing the 3/8 in. sieve 95 %
Cumulative percent passing the #4 sieve 22 %
Cumulative percent passing the #8 sieve 3 %
Cumulative percent passing the #16 sieve 2 %
Cumulative percent passing the #30 sieve 2 %
Cumulative percent passing the #50 sieve 2 %
Cumulative percent passing the #100 sieve 2 %
Cumulative percent passing the #200 sieve 1.5 %

Test 2 of 2

DIME Test ID: 2025-04-17-42-2
Test Method: AASHTO T104-99r16: Standard Method of Test for Soundness of Aggregate by Use of Sodium Sulfate or Magnesium Sulfate (Soundness)
Verified Date: 07/09/2025
Date Tested: 06/27/2025
Submitted By Organization: CT HQ - Sacramento Aggregate Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: ryan.kester@dot.ca.gov
Organization Phone: (916) 227-7215
General Comments for this Test: Due to Translab closure, sample tested at SRL
Test Result Compliance:
Additional Comments When Verified:
Size of aggregate being tested Coarse Aggregate
What type of solution was used? Sodium sulfate
What was the condition of the solution? Freshly prepared
Number of immersion cycles performed 5
Coarse weighted average loss 1 %