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Sample Record for 2019-01-24-15

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

Project Information

Project ID: 66667 DEA: JMFPP EFIS: 0019000043 QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for submitting Sample information for JMF Prequalification Program.
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2019-01-24-15
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Quality Control
Type of Material: Aggregate
Sample Taken Date: 01/24/2019
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 1
A brief description of the sample: 3/4 Inch HMA-A
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Deer Creek Porterville

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-54-0021::DEER CREEK ASPHALT
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 @ Plant
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): 11

Test Results

Test 1 of 11

DIME Test ID: 2019-01-24-15-1
Test Method: AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)
Verified Date: 04/10/2019
Date Tested: 01/24/2019
Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Boulevard, Room 225,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (916) 227-7302
General Comments for this Test: Aggregate Quality T-335, One Fractured Face %
Test Result Compliance:
Additional Comments When Verified:
Method 2 - Individual Fracture Determination
Aggregate Size and Fracture Type Coarse 1 Faced
Weighted average percentage of fractured, coarse, 1 faced particles 100 %

Test 2 of 11

DIME Test ID: 2019-01-24-15-2
Test Method: AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)
Verified Date: 04/10/2019
Date Tested: 01/24/2019
Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Boulevard, Room 225,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (916) 227-7302
General Comments for this Test: Aggregate Quality T-335, Two Fractured Face %
Test Result Compliance:
Additional Comments When Verified:
Method 2 - Individual Fracture Determination
Aggregate Size and Fracture Type Coarse 2 Faced
Weighted average percentage of fractured, coarse, 2 faced particles 100 %

Test 3 of 11

DIME Test ID: 2019-01-24-15-3
Test Method: AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)
Verified Date: 04/10/2019
Date Tested: 01/24/2019
Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Boulevard, Room 225,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (916) 227-7302
General Comments for this Test: Aggregate Quality T-335, One Fractured Face Fine %
Test Result Compliance:
Additional Comments When Verified:
Method 2 - Individual Fracture Determination
Aggregate Size and Fracture Type Fine 1 Faced
Percentage of fractured, fine, 1 faced particles tested 100 %

Test 4 of 11

DIME Test ID: 2019-01-24-15-4
Test Method: AASHTO T96-02r10: Standard Method of Test for Resistance to Degradation of Small-Size Coarse Aggregate by Abrasion and Impact in the Los Angeles Machine (Los Angeles Rattler)
Verified Date: 04/10/2019
Date Tested: 01/24/2019
Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Boulevard, Room 225,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (916) 227-7302
General Comments for this Test: Aggregate Quality T-96, LA Rattler
Test Result Compliance:
Additional Comments When Verified:
Grading designation B
Percent loss after 100 revolutions 4 %
Percent loss after 500 revolutions 12 %

Test 5 of 11

DIME Test ID: 2019-01-24-15-5
Test Method: AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent)
Verified Date: 04/10/2019
Date Tested: 01/24/2019
Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Boulevard, Room 225,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (916) 227-7302
General Comments for this Test: Aggregate Quality T-176, Sand Equivalent
Test Result Compliance:
Additional Comments When Verified:
Sand Equivalent 85

Test 6 of 11

DIME Test ID: 2019-01-24-15-6
Test Method: AASHTO T304-11: Standard Method of Test for Uncompacted Void Content of Fine Aggregate (Fine of Crushed Particles)
Verified Date: 04/10/2019
Date Tested: 01/24/2019
Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Boulevard, Room 225,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (916) 227-7302
General Comments for this Test: Aggregate Quality T-304
Test Result Compliance:
Additional Comments When Verified:
What test method is performed? Method A
Bulk dry specific gravity 2.912
Average uncompacted voids 47 %

Test 7 of 11

DIME Test ID: 2019-01-24-15-7
Test Method: AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)
Verified Date: 04/10/2019
Date Tested: 01/24/2019
Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Boulevard, Room 225,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (916) 227-7302
General Comments for this Test: Bulk Specific Gravity of coarse aggregate T-85
Test Result Compliance:
Additional Comments When Verified:
Basis for relative density testing Bulk
Specific Gravity 2.937
Absorption 0.8 %

Test 8 of 11

DIME Test ID: 2019-01-24-15-10
Test Method: AASHTO T104-99r16: Standard Method of Test for Soundness of Aggregate by Use of Sodium Sulfate or Magnesium Sulfate (Soundness)
Verified Date: 04/10/2019
Date Tested: 01/24/2019
Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Boulevard, Room 225,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (916) 227-7302
General Comments for this Test: Sodium sulfate soundness T-104
Test Result Compliance:
Additional Comments When Verified:
Size of aggregate being tested Coarse and Fine 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 %
Fine weighted average loss 2 %

Test 9 of 11

DIME Test ID: 2019-01-24-15-11
Test Method: AASHTO T210-15: Standard Method of Test for Aggregate Durability Index (Durability Index)
Verified Date: 04/10/2019
Date Tested: 01/24/2019
Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Boulevard, Room 225,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (916) 227-7302
General Comments for this Test: Fine and coarse aggregate durability index T-210
Test Result Compliance:
Additional Comments When Verified:
Which test procedure(s) is/are used? Procedure A and Procedure B
Was strict temperature control maintained? Yes
What type of water was used? Distilled
Durability Index (coarse) 87
Durability Index (fine) 86

Test 10 of 11

DIME Test ID: 2019-01-24-15-12
Test Method: ASTM D4791-10: Standard Test Method for Flat Particles, Elongated Particles, or Flat and Elongated Particles in Coarse Aggregate (Withdrawn 2019) (Flat and Elongated Particles)
Verified Date: 04/10/2019
Date Tested: 01/24/2019
Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Boulevard, Room 225,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (916) 227-7302
General Comments for this Test: Aggregate Quality ASTM D-4791
Test Result Compliance:
Additional Comments When Verified:
Method A
Determination By Mass
Dimensional ratio used 1:5
Weighted percentage of particles (by mass) that were flat 0 %
Weighted percentage of particles (by mass) that were elongated 0 %
Weighted percentage of particles (by mass) that were both flat and elongated 2 %
Weighted percentage of particles (by mass) that were neither flat nor elongated 98 %

Test 11 of 11

DIME Test ID: 2019-01-24-15-13
Test Method: AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity)
Verified Date: 04/10/2019
Date Tested: 01/24/2019
Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Boulevard, Room 225,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (916) 227-7302
General Comments for this Test: Aggregate Quality T-84
Test Result Compliance:
Additional Comments When Verified:
Bulk specific gravity 2.912
Bulk specific gravity (SSD Basis) 2.940
Apparent specific gravity 2.996
Absorption 1 %