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Sample Record for 2021-03-17-38

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Project Information

Project ID: 214492 DEA: 033F5404 EFIS: 0313000136 QA Service Level: 1
DIST-CO-RTE-PM: 03-SAC-99,160-4.5/5.7,R44.5
Work Description: FURNISH PRECAST PRESTRESSED CONCRETE SLAB & PLACE STRUCTURAL CONCRETE.
Location Description: SACRAMENTO COUNTY NEAR GALT ON ROUTE 99 FROM NORTH OF MINGO ROAD TO SOUTH OF ARNO ROAD OVERCROSSING AND IN SACRAMENTO ON ROUTE 160 AT AMERICAN RIVER BRIDGE
Contractor Name: BROSAMER & WALL, INC.
Contractor Address: 5000 Marsh Drive, Suite 300, Conord, CA 94520
Resident Engineer: Mohssen Ghassemi Structure Rep.: Chris Quon

Sample Information

DIME Sample ID: 2021-03-17-38
TL Number from the TL Form: C 849137
Sample Submitted By Organization: CT D03 - Olivehurst Northern Regional Laboratory
Sample Organization Contact: (530) 741-4238
Type of Sample: Verification
Type of Material: Aggregate
Sample Taken Date: 03/17/2021
Date that the sample was received by the laboratory/organization performing the testing: 03/17/2021
The quantity of what the sample constitutes: Aggregate for JMF Verification
A brief description of the sample: 1/2" (nominal) Untreated Virgin Aggregate
From where was the sample collected: Manufacturer
Laboratory sample identification: JMF21-014
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Teichert Perkins Batch Plant

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-34-0045::ASPEN IV SOUTH
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: Batch Plant Hot Bins
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 1/2 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:
Test results on following page(s): 8

Test Results

Test 1 of 8

DIME Test ID: 2021-03-17-38-1
Test Method: AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)
Verified Date: 06/14/2021
Date Tested: 05/21/2021
Submitted By Organization: CT D03 - Olivehurst Northern Regional Laboratory
Organization Address: 5330 Arboga Road,
Organization City: Olivehurst
Organization State: CA
Organization Zipcode: 95961
Organization Email: jeff.herbert@dot.ca.gov
Organization Phone: (530) 741-4238
General Comments for this Test: JMF21-014.
Test Result Compliance: complies
Additional Comments When Verified: JMF21-014
Method 2 - Individual Fracture Determination
Aggregate Size and Fracture Type Coarse 1 and 2 Faced and Fine 1 Faced
Weighted average percentage of fractured, coarse, 2 faced particles 91 %
Weighted average percentage of fractured, coarse, 1 faced particles 99 %
Percentage of fractured, fine, 1 faced particles tested 98 %

Test 2 of 8

DIME Test ID: 2021-03-17-38-2
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: 06/14/2021
Date Tested: 05/21/2021
Submitted By Organization: CT D03 - Olivehurst Northern Regional Laboratory
Organization Address: 5330 Arboga Road,
Organization City: Olivehurst
Organization State: CA
Organization Zipcode: 95961
Organization Email: jeff.herbert@dot.ca.gov
Organization Phone: (530) 741-4238
General Comments for this Test: JMF21-014.
Test Result Compliance: complies
Additional Comments When Verified: JMF21-014
Grading designation C
Percent loss after 100 revolutions 5 %
Percent loss after 500 revolutions 24 %

Test 3 of 8

DIME Test ID: 2021-03-17-38-3
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: 06/14/2021
Date Tested: 05/20/2021
Submitted By Organization: CT D03 - Olivehurst Northern Regional Laboratory
Organization Address: 5330 Arboga Road,
Organization City: Olivehurst
Organization State: CA
Organization Zipcode: 95961
Organization Email: jeff.herbert@dot.ca.gov
Organization Phone: (530) 741-4238
General Comments for this Test: JMF21-014.
Test Result Compliance: complies
Additional Comments When Verified: JMF21-014
Sand Equivalent 83

Test 4 of 8

DIME Test ID: 2021-03-17-38-4
Test Method: AASHTO T304-11: Standard Method of Test for Uncompacted Void Content of Fine Aggregate (Fine of Crushed Particles)
Verified Date: 06/14/2021
Date Tested: 05/21/2021
Submitted By Organization: CT D03 - Olivehurst Northern Regional Laboratory
Organization Address: 5330 Arboga Road,
Organization City: Olivehurst
Organization State: CA
Organization Zipcode: 95961
Organization Email: jeff.herbert@dot.ca.gov
Organization Phone: (530) 741-4238
General Comments for this Test: JMF21-014.
Test Result Compliance: complies
Additional Comments When Verified: JMF21-014
What test method is performed? Method A
Bulk dry specific gravity 2.678
Average uncompacted voids 47 %

Test 5 of 8

DIME Test ID: 2021-03-17-38-6
Test Method: CTM 204-June 2010: Method of Test for Liquid Limit, Plastic Limit and Plasticity Index of Soils (Plasticity Index)
Verified Date: 06/14/2021
Date Tested: 05/24/2021
Submitted By Organization: CT D03 - Olivehurst Northern Regional Laboratory
Organization Address: 5330 Arboga Road,
Organization City: Olivehurst
Organization State: CA
Organization Zipcode: 95961
Organization Email: jeff.herbert@dot.ca.gov
Organization Phone: (530) 741-4238
General Comments for this Test: JMF21-014.
Test Result Compliance: complies
Additional Comments When Verified:
Plastic Index(PI) 0
Liquid Limit (LL) 0 %
Plastic Limit (PL) 0 %

Test 6 of 8

DIME Test ID: 2021-03-17-38-7
Test Method: AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)
Verified Date: 06/14/2021
Date Tested: 05/20/2021
Submitted By Organization: CT D03 - Olivehurst Northern Regional Laboratory
Organization Address: 5330 Arboga Road,
Organization City: Olivehurst
Organization State: CA
Organization Zipcode: 95961
Organization Email: jeff.herbert@dot.ca.gov
Organization Phone: (530) 741-4238
General Comments for this Test: JMF21-014.
Test Result Compliance: complies
Additional Comments When Verified:
Basis for relative density testing Bulk
Specific Gravity 2.719
Absorption 1.1 %

Test 7 of 8

DIME Test ID: 2021-03-17-38-8
Test Method: AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity)
Verified Date: 06/14/2021
Date Tested: 05/21/2021
Submitted By Organization: CT D03 - Olivehurst Northern Regional Laboratory
Organization Address: 5330 Arboga Road,
Organization City: Olivehurst
Organization State: CA
Organization Zipcode: 95961
Organization Email: jeff.herbert@dot.ca.gov
Organization Phone: (530) 741-4238
General Comments for this Test: JMF21-014.
Test Result Compliance: not applicable
Additional Comments When Verified:
Bulk specific gravity 2.678
Bulk specific gravity (SSD Basis) 2.711
Apparent specific gravity 2.771
Absorption 1.3 %

Test 8 of 8

DIME Test ID: 2021-03-17-38-9
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 06/14/2021
Date Tested: 05/18/2021
Submitted By Organization: CT D03 - Olivehurst Northern Regional Laboratory
Organization Address: 5330 Arboga Road,
Organization City: Olivehurst
Organization State: CA
Organization Zipcode: 95961
Organization Email: jeff.herbert@dot.ca.gov
Organization Phone: (530) 741-4238
General Comments for this Test: JMF21-014.
Test Result Compliance: complies
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 97 %
Cumulative percent passing the 3/8 in. sieve 88 %
Cumulative percent passing the #4 sieve 52 %
Cumulative percent passing the #8 sieve 40 %
Cumulative percent passing the #16 sieve 31 %
Cumulative percent passing the #30 sieve 22 %
Cumulative percent passing the #50 sieve 16 %
Cumulative percent passing the #100 sieve 10 %
Cumulative percent passing the #200 sieve 4.8 %