Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 211083 DEA: 021H0304
QA Service Level: 1
DIST-CO-RTE-PM: 02-SIS-161-9.0/15.0
Work Description: COLD IN-PLACE RECYCLE
Location Description: IN SISKIYOU COUNTY ABOUT 6 MILESWEST OF TULELAKE FROM 2.2 MILES WEST TO 3.9 MILE EAST OF FUGATE ROAD.
Contractor Name: HAT CREEK CONSTRUCTION & MATERIALS, INC.
Contractor Address: Unknown
Resident Engineer: JEFF STEPPAT Structure Rep.: Unknown
DIME Sample ID: 2017-04-20-12
TL Number from the TL Form: 847797
Sample Submitted By Organization: CT D02 - Redding Northern Regional Laboratory
Sample Organization Contact: (530) 225-3194
Type of Sample: Verification
Type of Material: Job Mix Formula Partial
Sample Taken Date: 04/20/2017
Date that the sample was received by the laboratory/organization performing the testing: 04/21/2017
The quantity of what the sample constitutes: JMF
A brief description of the sample: Untreated Virgin Aggregate
From where was the sample collected: Manufacturer
Laboratory sample identification: D76897, 17FPCC-0214
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Hat Creek - Shaw Pit Facility
Source Identification (SMARA, name of Pit or Job Site): 91-25-0008
The fabricator's/manufacturer's product name for the sample: 1/2 inch Type A
The fabricator/manufacturer designation for the sample: 16-1278.72
The plant number: Unknown
A detailed description of where the material sample was collected: Stockpiles
Where the material sample would have been placed if not sampled: Verification
Superpave or Non-superpave Mix: Superpave
DIME Test ID: 2017-04-20-12-1
Test Method: AASHTO T104-11: Standard Method of Test for Soundness of Aggregate by Use of Sodium Sulfate or Magnesium Sulfate (Soundness)
Verified Date: 07/24/2017
Date Tested: 07/24/2017
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: bang.d.nguyen@dot.ca.gov
Organization Phone: (916) 227-7204
General Comments for this Test: Weighted average is 2.9%
Test Result Compliance: complies
Additional Comments When Verified:
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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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Previously used
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Mass of sample retained on the 2 in. sieve (before immersion)
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0 grams
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Mass of sample retained on the 1.5 in. sieve (before immersion)
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0 grams
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Mass of sample retained on the 1 in. sieve (before immersion)
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0 grams
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Mass of sample retained on the 3/4 in. sieve (before immersion)
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0 grams
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Mass of sample retained on the 1/2 in. sieve (before immersion)
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0 grams
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Mass of sample retained on the 3/8 in. sieve (before immersion)
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310.1 grams
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Mass of sample retained on the #4 sieve (before immersion)
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313.4 grams
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Percent loss from sample retained on the 1 ½ in. x ¾ in. sieve
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0 %
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Percent loss from sample retained on the ¾ in. x ⅜ in. sieve
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0 %
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Percent loss from sample retained on the ⅜ in. x No. 4 sieve
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3 %
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Percent loss from sample retained on the No. 4 x 8 sieve (coarse)
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3 %
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Percent of split particles between 3/4 in and 1 1/2 in.
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0 %
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Percent of crumbled particles between 3/4 in and 1 1/2 in.
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0 %
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Percent of cracked particles between 3/4 in and 1 1/2 in.
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0 %
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Percent of flaked particles between 3/4 in and 1 1/2 in.
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0 %
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Percent of split particles between 1 1/2 in and 2 1/2 in.
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0 %
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Percent of crumbled particles between 1 1/2 in and 2 1/2 in.
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0 %
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Percent of cracked particles between 1 1/2 in and 2 1/2 in.
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0 %
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Percent of flaked particles between 1 1/2 in and 2 1/2 in.
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0 %
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Coarse weighted average loss
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no data
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