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Sample Record for 2020-04-03-13

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

Project Information

Project ID: 214516 DEA: 024H2404 EFIS: 0218000098 QA Service Level: 1
DIST-CO-RTE-PM: 02-TRI-3-32.0/38.0,53.7/63.8
Work Description: PLACE HMA (TYPE A) OVERLAY, SHOULDER BACKING, AND TRAFFIC STRIPE.
Location Description: TRINITY COUNTY NEAR WEAVERVILLE FROM 0.4 MILE NORTH OF BROWNS RANCH ROAD TO 0.1 MILE NORTH OF RUSH CREEK ROAD AND FROM EAST FORK STUART BRIDGE TO 2.4 MILES NORTH OF EL DORADO WAY
Contractor Name: TULLIS, INC.
Contractor Address: 16951 CLEAR CREEK RD, REDDING CA 96001
Resident Engineer: Mandhir Grewal Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-04-03-13
TL Number from the TL Form: 858605
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: 04/03/2020
Date that the sample was received by the laboratory/organization performing the testing: 05/03/2020
The quantity of what the sample constitutes: JMF Verification
A brief description of the sample: Crushed Fines, Untreated Sized Virgin Aggregate
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Shasta Ranch Aggregates - Anderson, CA

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-45-0057::SHASTA RANCH AGGREGATES
The fabricator's/manufacturer's product name for the sample: Unknown
The fabricator/manufacturer designation for the sample: Unknown
The plant number: Unknown
A detailed description of where the material sample was collected: Sized Untreated Aggregate Stockpile
Where the material sample would have been placed if not sampled: Unknown
Primary Aggregate Nominal Size: fine
The concrete mix design number: JMF 20-01-S1
Lot number: Unknown
Sublot number: Unknown
Aggregate Mix Number:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2020-04-03-13-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 05/01/2020
Date Tested: 04/06/2020
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:
Additional Comments When Verified:
What type of gradation is being tested? HMA Gradation
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 100 %
Cumulative percent passing the 1/4 in. sieve 100 %
Cumulative percent passing the #4 sieve 98.7 %
Cumulative percent passing the #8 sieve 68.4 %
Cumulative percent passing the #16 sieve 44.3 %
Cumulative percent passing the #30 sieve 29.6 %
Cumulative percent passing the #50 sieve 19.8 %
Cumulative percent passing the #100 sieve 13.8 %
Cumulative percent passing the #200 sieve 10.27 %

Test 2 of 2

DIME Test ID: 2020-04-03-13-2
Test Method: AASHTO T104-99r16: Standard Method of Test for Soundness of Aggregate by Use of Sodium Sulfate or Magnesium Sulfate (Soundness)
Verified Date: 05/21/2020
Date Tested: 05/21/2020
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:
Test Result Compliance:
Additional Comments When Verified:
Size of aggregate being tested Fine Aggregate
What type of solution was used? Sodium sulfate
What was the condition of the solution? Previously used
Number of immersion cycles performed 5
Fine weighted average loss 2.4 %