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Sample Record for 2023-02-22-3

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Project Information

Project ID: 214469 DEA: 030H08U4 EFIS: 0319000029 QA Service Level: 1
DIST-CO-RTE-PM: 03-SAC-50-L0.2/R6.1
Work Description: Sac 50 Design Build PLEASE NOTE THAT DESIGN BUILDER MUST PERFORM QUALITY VALIDATION TESTING IN ACCORDANCE WITH THE MATERIAL CONTROL SCHEDULE (MCS) FOR ITEMS SUCH AS STRANDS, HS BOLTS, ELASTOMERIC BEARING PADS, JOINT SEALANTS, COUPLERS & WELDED HOOPS, ETC
Location Description: FROM 0.1 MILE EAST OF I-5 TO 0.8 MILE EAST OF WATT AVE
Contractor Name: FLATIRON WEST INC
Contractor Address: 2100 Goodyear Rd., Benicia, CA 94510
Resident Engineer: Jim Rogers Structure Rep.: Caleb Toy

Sample Information

DIME Sample ID: 2023-02-22-3
TL Number from the TL Form:
Sample Submitted By Organization: Blackburn Consulting
Sample Organization Contact: (916) 375-8706
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 02/22/2023
Date that the sample was received by the laboratory/organization performing the testing: 02/22/2023
The quantity of what the sample constitutes: 750 Tons
A brief description of the sample: 3/4" HMA Aggregates
From where was the sample collected: Supplier
Laboratory sample identification: 2402
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Teichert Perkins - Continuous Plant

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-34-0053
The fabricator's/manufacturer's product name for the sample: 3/4WMASPW/13RAP
The fabricator/manufacturer designation for the sample: Mix
The plant number:
A detailed description of where the material sample was collected: Autmoatic Sampler at Gencore Plant
Where the material sample would have been placed if not sampled: US50 Segment 1
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number:
Lot number: 1
Sublot number: 1
Aggregate Mix Number:
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2023-02-22-3-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 03/07/2023
Date Tested: 02/23/2023
Submitted By Organization: Blackburn Consulting
Organization Address: 2491 Boatman Avenue,
Organization City: West Sacrametno
Organization State: CA
Organization Zipcode: 95691
Organization Email: brycem@blackburnconsulting.com
Organization Phone: (916) 375-8706
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 98 %
Cumulative percent passing the 1/2 in. sieve 84 %
Cumulative percent passing the 3/8 in. sieve 71 %
Cumulative percent passing the #4 sieve 45 %
Cumulative percent passing the #8 sieve 27 %
Cumulative percent passing the #16 sieve 20 %
Cumulative percent passing the #30 sieve 15 %
Cumulative percent passing the #50 sieve 11 %
Cumulative percent passing the #100 sieve 8 %
Cumulative percent passing the #200 sieve 5.9 %