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Sample Record for 2017-05-05-12

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 212467 DEA: 024G4904 EFIS: 0214000004 QA Service Level: 1
DIST-CO-RTE-PM: 02-SHA-44-44.9/45.5
Work Description: EXCAVATE AND HAUL SOIL/ROCK, PLACE AB/HMA, PROVIDE TRAFFIC CONTROL
Location Description: IN SHASTA COUNTY NEAR VIOLA FROM 1.7 MILES TO 1.1 MILES WEST OF NORTH BATTLE CREEK RESERVOIR ROAD
Contractor Name: TULLIS, INC.
Contractor Address: 16951 CLEAR CREEK WY, REDDING CA 960019604
Resident Engineer: MIKE ZDENEK Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2017-05-05-12
TL Number from the TL Form: 002251
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: 05/05/2017
Date that the sample was received by the laboratory/organization performing the testing: 05/05/2017
The quantity of what the sample constitutes: JMF Verification
A brief description of the sample: Untreated virgin aggregate
From where was the sample collected: Manufacturer
Laboratory sample identification: D76918, 17-0215
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Northstate Asphalt

Material Information

Source Identification (SMARA, name of Pit or Job Site): SMARA ID No. 91-45-0057
The fabricator's/manufacturer's product name for the sample: 3/4 inch Type A HMA
The fabricator/manufacturer designation for the sample: L170304
The plant number: Unknown
A detailed description of where the material sample was collected: Untreated stockpiles
Where the material sample would have been placed if not sampled: Unknown
Superpave or Non-superpave Mix: Superpave
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2017-05-05-12-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 03/15/2018
Date Tested: 05/23/2017
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: BETA TESTING - not for use
Test Result Compliance:
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 90 %
Cumulative percent passing the 3/8 in. sieve 72 %
Cumulative percent passing the #4 sieve 45 %
Cumulative percent passing the #8 sieve 30 %
Cumulative percent passing the #16 sieve 20 %
Cumulative percent passing the #30 sieve 14 %
Cumulative percent passing the #50 sieve 10 %
Cumulative percent passing the #100 sieve 7 %
Cumulative percent passing the #200 sieve 5 %

Test 2 of 2

DIME Test ID: 2017-05-05-12-2
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: Coarse Weighted Average is 0.7% Fine weighted average is 5.2%
Test Result Compliance: complies
Additional Comments When Verified:
What type of solution was used? Sodium sulfate
What was the condition of the solution? Previously used
Mass of sample retained on the 2 in. sieve (before immersion) 0 grams
Mass of sample retained on the 1.5 in. sieve (before immersion) 0 grams
Mass of sample retained on the 1 in. sieve (before immersion) 0 grams
Mass of sample retained on the 3/4 in. sieve (before immersion) 0 grams
Mass of sample retained on the 1/2 in. sieve (before immersion) 671.4 grams
Mass of sample retained on the 3/8 in. sieve (before immersion) 331.1 grams
Mass of sample retained on the #4 sieve (before immersion) no data
Mass of sample retained on the #4 sieve (before immersion) 302.5 grams
Mass of sample retained on the #8 sieve (before immersion) 100 grams
Mass of sample retained on the #16 sieve (before immersion) 100.1 grams
Mass of sample retained on the #30 sieve (before immersion) 100.1 grams
Mass of sample retained on the #50 sieve (before immersion) 100.1 grams
Percent loss from sample retained on the 1 ½ in. x ¾ in. sieve 0 %
Percent loss from sample retained on the ¾ in. x ⅜ in. sieve 0 %
Percent loss from sample retained on the ⅜ in. x No. 4 sieve 1 %
Percent loss from sample retained on the No. 4 x 8 sieve (coarse) 1 %
Percent loss from sample retained on the No. 4 x 8 sieve (fine) 0 %
Percent loss from sample retained on the No. 8 x 16 sieve 3 %
Percent loss from sample retained on the No. 16 x 30 sieve 7 %
Percent loss from sample retained on the No. 30 x 50 sieve 7 %
Percent loss from sample retained on the #50 sieve 9 %
Percent of split particles between 3/4 in and 1 1/2 in. 0 %
Percent of crumbled particles between 3/4 in and 1 1/2 in. 0 %
Percent of cracked particles between 3/4 in and 1 1/2 in. 0 %
Percent of flaked particles between 3/4 in and 1 1/2 in. 0 %
Percent of split particles between 1 1/2 in and 2 1/2 in. 0 %
Percent of crumbled particles between 1 1/2 in and 2 1/2 in. 0 %
Percent of cracked particles between 1 1/2 in and 2 1/2 in. 0 %
Percent of flaked particles between 1 1/2 in and 2 1/2 in. 0 %
Coarse weighted average loss no data
Fine weighted average loss no data