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Sample Record for 2024-07-24-57

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Project Information

Project ID: 994857 DEA: 010H6104 EFIS: 0117000241 QA Service Level: 1
DIST-CO-RTE-PM: 01-HUM-36-13.5/R36.1
Work Description: COLD PLANE AND OVERLAY HMA, & REPLACE GUARDRAILS.
Location Description: HUMBOLDT COUNTY AT AND NEAR BRIDGEVILLE FROM 3.4 MILES WEST OF GRIZZLY CREEK BRIDGE TO 0.8 MILE EAST OF SOUTH FORK VAN DUZEN RIVER
Contractor Name: MERCER FRASER COMPANY
Contractor Address: PO Box 1006, Eureka, CA 95502
Resident Engineer: Joaquin Rodriquez Structure Rep.: Shantanu Nalawade

Sample Information

DIME Sample ID: 2024-07-24-57
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: 07/24/2024
Date that the sample was received by the laboratory/organization performing the testing: 07/24/2024
The quantity of what the sample constitutes: 750 Tons
A brief description of the sample: HMA Type A Cold Feed
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Mercer Fraser - Fortuna Plant 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:
The fabricator/manufacturer designation for the sample:
The plant number:
A detailed description of where the material sample was collected: Feed Belt/Stockpile
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: 1
Sublot number: 7
Aggregate Mix Number:
Test results on following page(s): 3

Test Results

Test 1 of 3

DIME Test ID: 2024-07-24-57-1
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: 07/24/2024
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:
Sand Equivalent 57

Test 2 of 3

DIME Test ID: 2024-07-24-57-2
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: 07/24/2024
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:
What type of gradation is being tested? Combined Gradation
Cumulative percent passing the 2 in. sieve 100 %
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 96 %
Cumulative percent passing the 3/8 in. sieve 86 %
Cumulative percent passing the #4 sieve 57 %
Cumulative percent passing the #8 sieve 34 %
Cumulative percent passing the #16 sieve 22 %
Cumulative percent passing the #30 sieve 16 %
Cumulative percent passing the #50 sieve 11 %
Cumulative percent passing the #100 sieve 7 %
Cumulative percent passing the #200 sieve 4.4 %

Test 3 of 3

DIME Test ID: 2024-07-24-57-3
Test Method: AASHTO T30-19: Standard Method of Test for Mechanical Analysis of Extracted Aggregate (Mechanical Analysis)
Verified Date: 08/05/2024
Date Tested: 08/05/2024
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: not applicable
Additional Comments When Verified:
Is an aggregate correction factor used? Yes
Cumulative percent passing the 2 in. sieve 100 %
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 74 %
Cumulative percent passing the #8 sieve 51 %
Cumulative percent passing the #16 sieve 38 %
Cumulative percent passing the #30 sieve 29 %
Cumulative percent passing the #50 sieve 21 %
Cumulative percent passing the #100 sieve 14 %
Cumulative percent passing the #200 sieve 10.4 %