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Sample Record for 2024-03-14-47

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Project Information

Project ID: 995055 DEA: 024H0504 EFIS: 0218000080 QA Service Level: 1
DIST-CO-RTE-PM: 02-SHA-273,299-18.5/18.7,24.1/30.3
Work Description: PLACE RHMA, HMA, MINOR CONCRETE, AND REPLACE AC SURFACING.
Location Description: SHASTA COUNTY IN AND NEAR REDDING ON ROUTE 273 FROM 0.5 MILE NORTH OF SULPHUR CREEK BRIDGE TO 0.2 MILE SOUTH OF TWIN VIEW BOULEVARD AND ON ROUTE 299 FROM 0.2 MILE WEST OF HILLTOP DRIVE TO 0.1 MILE EAST OF HOOTENANNY LANE
Contractor Name: TULLIS, INC.
Contractor Address: 16951 Clear Creek Road, Redding, CA 96001
Resident Engineer: Nathan Alexander Structure Rep.: Nicolas Jimenez

Sample Information

DIME Sample ID: 2024-03-14-47
TL Number from the TL Form: 035782B
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: 03/14/2024
Date that the sample was received by the laboratory/organization performing the testing: 03/14/2024
The quantity of what the sample constitutes: JMF Verification
A brief description of the sample: 4 bags of 3/8″ Untreated Sized Virgin Aggregate
From where was the sample collected: Manufacturer
Laboratory sample identification: D79441B
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Tullis — Northstate Asphalt (Redding, CA)

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-45-0061::Latona Aggregates
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: Untreated Sized Virgin Aggregate Stockpile
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/8 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2024-03-14-47-1
Test Method: AASHTO T104-99r16: Standard Method of Test for Soundness of Aggregate by Use of Sodium Sulfate or Magnesium Sulfate (Soundness)
Verified Date: 05/01/2024
Date Tested: 04/26/2024
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? Freshly prepared
Number of immersion cycles performed 5
Fine weighted average loss 2.3 %

Test 2 of 2

DIME Test ID: 2024-03-14-47-2
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 03/28/2024
Date Tested: 03/20/2024
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: not applicable
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 100 %
Cumulative percent passing the 3/8 in. sieve 100 %
Cumulative percent passing the #4 sieve 24 %
Cumulative percent passing the #8 sieve 6 %
Cumulative percent passing the #16 sieve 4 %
Cumulative percent passing the #30 sieve 4 %
Cumulative percent passing the #50 sieve 3 %
Cumulative percent passing the #100 sieve 3 %
Cumulative percent passing the #200 sieve 2.5 %