Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 995089 DEA: 010M8104 EFIS: 0123000072
QA Service Level: 1
DIST-CO-RTE-PM: 01-HUM-36-7/42
Work Description:
Location Description:
Contractor Name: Pacific Coast Drilling Co., Inc.
Contractor Address: 364 Bellevue Ave., Santa Rosa 95407
Resident Engineer: Cody Long Structure Rep.: George Moore
DIME Sample ID: 2024-07-18-9
TL Number from the TL Form:
Sample Submitted By Organization: CT D01 - Fortuna Field Laboratory
Sample Organization Contact: (707) 496-0974
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 07/18/2024
Date that the sample was received by the laboratory/organization performing the testing: 07/18/2024
The quantity of what the sample constitutes: 1 Working Day
A brief description of the sample: 3/4" HMA w/ RAP
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Mercer-Fraser — Plant B (Fortuna, CA)
Source Identification (SMARA, name of Pit or Job Site): Fortuna Plant B
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: conveyor belt
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number:
Lot number: 1
Sublot number: 2
Aggregate Mix Number:
DIME Test ID: 2024-07-18-9-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 08/05/2024
Date Tested: 07/22/2024
Submitted By Organization: CT D01 - Fortuna Field 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: does not comply
Additional Comments When Verified:
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What type of gradation is being tested?
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Combined Gradation
|
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Cumulative percent passing the 2 in. sieve
|
100 %
|
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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 %
|
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Cumulative percent passing the 1/2 in. sieve
|
85 %
|
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Cumulative percent passing the 3/8 in. sieve
|
59 %
|
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Cumulative percent passing the #4 sieve
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35 %
|
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Cumulative percent passing the #8 sieve
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21 %
|
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Cumulative percent passing the #16 sieve
|
14 %
|
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Cumulative percent passing the #30 sieve
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10 %
|
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Cumulative percent passing the #50 sieve
|
7 %
|
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Cumulative percent passing the #100 sieve
|
4 %
|
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Cumulative percent passing the #200 sieve
|
2.7 %
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DIME Test ID: 2024-07-18-9-2
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)
Verified Date: 08/05/2024
Date Tested: 07/23/2024
Submitted By Organization: CT D01 - Fortuna Field 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:
