Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 995285 DEA: 024H7804 EFIS: 0219000004
QA Service Level: 1
DIST-CO-RTE-PM: 02-SHA-89-22.0/30.6
Work Description: PLACE HMA, SHOULDER BACKING AND THERMOPLASTIC TRAFFIC STRIPE.
Location Description: SHASTA COUNTY ABOUT 6 MILES EAST OF BURNEY FROM 0.2 MILE NORTH OF ROUTE 299 TO 0.6 MILE NORTH OF LAKE BRITTON ROAD
Contractor Name: HAT CREEK CONSTRUCTION & MATERIA02-4H7804LS, INC.
Contractor Address: Unknown
Resident Engineer: Joel Gasik Structure Rep.: Unknown
DIME Sample ID: 2024-04-03-99
TL Number from the TL Form: 857921D
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: 04/03/2024
Date that the sample was received by the laboratory/organization performing the testing: 04/03/2024
The quantity of what the sample constitutes: JMF Verification
A brief description of the sample: 2 bags of Washed Dust Untreated Sized Virgin Aggregate
From where was the sample collected: Manufacturer
Laboratory sample identification: D79453D
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Hat Creek Construction and Materials — Shaw Pit Facility (Lookout, CA)
Source Identification (SMARA, name of Pit or Job Site): 91-25-0008::Shaw Pit (Lookout, CA)
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: fine
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:
DIME Test ID: 2024-04-03-99-1
Test Method: AASHTO T104-99r16: Standard Method of Test for Soundness of Aggregate by Use of Sodium Sulfate or Magnesium Sulfate (Soundness)
Verified Date: 06/05/2024
Date Tested: 06/05/2024
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:
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Size of aggregate being tested
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Fine Aggregate
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What type of solution was used?
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Sodium sulfate
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What was the condition of the solution?
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Freshly prepared
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Number of immersion cycles performed
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5
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Fine weighted average loss
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11 %
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DIME Test ID: 2024-04-03-99-2
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 05/10/2024
Date Tested: 04/08/2024
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:
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What type of gradation is being tested?
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HMA Gradation
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Cumulative percent passing the 2 in. sieve
|
no data
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Cumulative percent passing the 1 1/2 in. sieve
|
100 %
|
|
Cumulative percent passing the 1 in. sieve
|
100 %
|
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Cumulative percent passing the 3/4 in. sieve
|
100 %
|
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Cumulative percent passing the 1/2 in. sieve
|
100 %
|
|
Cumulative percent passing the 3/8 in. sieve
|
100 %
|
|
Cumulative percent passing the #4 sieve
|
89 %
|
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Cumulative percent passing the #8 sieve
|
45 %
|
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Cumulative percent passing the #16 sieve
|
24 %
|
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Cumulative percent passing the #30 sieve
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14 %
|
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Cumulative percent passing the #50 sieve
|
8 %
|
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Cumulative percent passing the #100 sieve
|
4 %
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Cumulative percent passing the #200 sieve
|
3 %
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