Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 211083 DEA: 021H0304
QA Service Level: 1
DIST-CO-RTE-PM: 02-SIS-161-9.0/15.0
Work Description: COLD IN-PLACE RECYCLE
Location Description: IN SISKIYOU COUNTY ABOUT 6 MILESWEST OF TULELAKE FROM 2.2 MILES WEST TO 3.9 MILE EAST OF FUGATE ROAD.
Contractor Name: HAT CREEK CONSTRUCTION & MATERIALS, INC.
Contractor Address: Unknown
Resident Engineer: JEFF STEPPAT Structure Rep.: Unknown
DIME Sample ID: 2017-04-20-15
TL Number from the TL Form: 847797B
Sample Submitted By Organization: CT HQ - Sacramento Aggregate Testing Laboratory
Sample Organization Contact: (915) 296-1892
Type of Sample: Verification
Type of Material: Job Mix Formula Partial
Sample Taken Date: 04/20/2017
Date that the sample was received by the laboratory/organization performing the testing: 04/21/2017
The quantity of what the sample constitutes: JMF
A brief description of the sample: Untreated Virgin Aggregate
From where was the sample collected: Manufacturer
Laboratory sample identification: D76897, 17FPCC-0214
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Hat Creek - Shaw Pit Facility
Source Identification (SMARA, name of Pit or Job Site): 91-25-0008
The fabricator's/manufacturer's product name for the sample: 1slash2dashinch Type A
The fabricator/manufacturer designation for the sample: 16dash1278point72
The plant number: Unknown
A detailed description of where the material sample was collected: Stockpiles
Where the material sample would have been placed if not sampled: Verification
Superpave or Non-superpave Mix: Superpave
DIME Test ID: 2017-04-20-15-1
Test Method: AASHTO T104-11: Standard Method of Test for Soundness of Aggregate by Use of Sodium Sulfate or Magnesium Sulfate (Soundness)
Verified Date: 07/24/2017
Date Tested: 07/24/2017
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: Weighted Average is 7.9%
Test Result Compliance: complies
Additional Comments When Verified:
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What type of solution was used?
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Sodium sulfate
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What was the condition of the solution?
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Previously used
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Mass of sample retained on the #4 sieve (before immersion)
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no data
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Mass of sample retained on the #4 sieve (before immersion)
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no data0 grams
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Mass of sample retained on the #8 sieve (before immersion)
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109 grams
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Mass of sample retained on the #16 sieve (before immersion)
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108.9 grams
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Mass of sample retained on the #30 sieve (before immersion)
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106.6 grams
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Mass of sample retained on the #50 sieve (before immersion)
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107.3 grams
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Percent loss from sample retained on the No. 4 x 8 sieve (fine)
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no data0 %
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Percent loss from sample retained on the No. 8 x 16 sieve
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5 %
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Percent loss from sample retained on the No. 16 x 30 sieve
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11 %
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Percent loss from sample retained on the No. 30 x 50 sieve
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10 %
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Percent loss from sample retained on the #50 sieve
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8 %
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Fine weighted average loss
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no data
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