Project Information

Project ID: 994264 DEA: 010H20U4 EFIS: 0122000085 QA Service Level: 1

DIST-CO-RTE-PM: 01-HUM-101-77.3/79.5

Work Description: Project Name: 5th Street Combine (Description of Work: Minor Concrete, Modify Signal and HMA)

Location Description: HUMBOLDT COUNTY IN EUREKA AT VARIOUS LOCATIONS FROM MCCULLENS AVENUE TO 0.1 MILE NORTH OF V STREET AND WEST AVENUE NORTHBOUND

Contractor Name: S.T. Rhoades Construction, Inc.

Contractor Address: 8585 Commercial Way, Redding, CA 96002

Resident Engineer: Kristina Walker Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-10-30-48

TL Number from the TL Form:

Sample Submitted By Organization: CT D01 - District 1 Materials Laboratory

Sample Organization Contact: (707) 496-0974

Type of Sample: Department Acceptance

Type of Material: Aggregate

Sample Taken Date: 10/30/2023

Date that the sample was received by the laboratory/organization performing the testing: 10/31/2023

The quantity of what the sample constitutes: 1 days production

A brief description of the sample: 1/2" HMA-A 24% RAP

From where was the sample collected: Manufacturer

Laboratory sample identification: 23-318

Structure unique identifier:

Structure name:

The fabricator/manufacturer/facility name: Mercer Fraser B

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-12-0002

The fabricator's/manufacturer's product name for the sample: L230248

The fabricator/manufacturer designation for the sample:

The plant number:

A detailed description of where the material sample was collected: Cold Feed

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

Test 1 of 2

DIME Test ID: 2023-10-30-48-1

Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)

Verified Date: 11/03/2023

Date Tested: 11/02/2023

Submitted By Organization: CT D01 - District 1 Materials Laboratory

Organization Address: 1050 River Ranch Road,

Organization City: Fortuna

Organization State: California

Organization Zipcode: 95540

Organization Email: leif.ayres@dot.ca.gov

Organization Phone: (707) 496-0974

General Comments for this Test:

Test Result Compliance: complies

Additional Comments When Verified:

What type of gradation is being tested?	HMA Gradation
Cumulative percent passing the 2 in. sieve	no data
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	92 %
Cumulative percent passing the #4 sieve	65 %
Cumulative percent passing the #8 sieve	42 %
Cumulative percent passing the #16 sieve	28 %
Cumulative percent passing the #30 sieve	21 %
Cumulative percent passing the #50 sieve	15 %
Cumulative percent passing the #100 sieve	10 %
Cumulative percent passing the #200 sieve	6.8 %

Test 2 of 2

DIME Test ID: 2023-10-30-48-2

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)