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Sample Record for 2025-06-18-154

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Project Information

Project ID: 1000958 DEA: 021K0704 EFIS: 0224000048 QA Service Level: 1
DIST-CO-RTE-PM: 02-LAS-139-11.0/16.0
Work Description: PERFORM PARTIAL DEPTH RECYCLING AND PLACE HOT MIX ASPHALT (TYPE A).
Location Description: LASSEN COUNTY ABOUT 9 MILES NORTH OF SUSANVILLE FROM 1.2 MILES SOUTH OF HAGATA ROAD TO 0.9 MILE SOUTH OF MEADOW CHANNEL BRIDGE
Contractor Name: S.T. RHOADES CONSTRUCTION, INC.
Contractor Address: P.O. Box 494520, Redding, CA 96049
Resident Engineer: Daniel Gibs Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2025-06-18-154
TL Number from the TL Form: 877785A
Sample Submitted By Organization: CT D02 - Redding Northern Regional Laboratory
Sample Organization Contact: (530) 225-3194
Type of Sample: Verification
Type of Material: Aggregate
Sample Taken Date: 06/18/2025
Date that the sample was received by the laboratory/organization performing the testing: 06/19/2025
The quantity of what the sample constitutes: JMF Verification
A brief description of the sample: Untreated Virgin 1/2" Crushed Sized Aggregate
From where was the sample collected: Manufacturer
Laboratory sample identification: D79909A
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Hat Creek Construction & Materials — Shaw Pit Facility (Lookout, CA)

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-25-0008::Shaw Pit (Lookout, CA)
The fabricator's/manufacturer's product name for the sample: 1/2" Crushed
The fabricator/manufacturer designation for the sample:
The plant number:
A detailed description of where the material sample was collected: Sized Untreated Virgin Aggregate Stockpile
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): 2

Test Results

Test 1 of 2

DIME Test ID: 2025-06-18-154-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 08/21/2025
Date Tested: 06/26/2025
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 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 80 %
Cumulative percent passing the 3/8 in. sieve 18 %
Cumulative percent passing the 1/4 in. sieve 4 %
Cumulative percent passing the #4 sieve 3 %
Cumulative percent passing the #8 sieve 2 %
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 1.4 %

Test 2 of 2

DIME Test ID: 2025-06-18-154-2
Test Method: AASHTO T104-99r16: Standard Method of Test for Soundness of Aggregate by Use of Sodium Sulfate or Magnesium Sulfate (Soundness)
Verified Date: 09/04/2025
Date Tested: 09/04/2025
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: Please perform five cycles with Sodium Sulfate solution. 3/4 x 1/2", 1/2 x 3/8", and 3/8" x No. 4 coarse sizes included.
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 9.9 %