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Sample Record for 2017-06-02-6

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

Project Information

Project ID: 211871 DEA: 022H3304 QA Service Level: 1
DIST-CO-RTE-PM: 02-LAS,MOD-395-119.0/128.7,39.9/61.6
Work Description: ASPHALT-RUBBER CHIP SEAL, REPLACE AC SURFACING, STRIPING
Location Description: LASSEN AND MODOC COUNTIES ON ROUTE 395 FROM 1.7 MILES SOUTH OF FILLMAN ROAD TO 0.4 MILE SOUTH OF ASH VALLEY ROAD AND FROM COUNTY ROAD 133A TO OREGON STATE LINE
Contractor Name: AMERICAN PAVEMENT SYSTEMS, INC.
Contractor Address: Unknown
Resident Engineer: MANDHIR GREWAL Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2017-06-02-6
TL Number from the TL Form: 852336
Sample Submitted By Organization: CT D02 - North Region Materials Lab
Sample Organization Contact: (530) 225-3194
Type of Sample: Verification
Type of Material: Job Mix Formula Partial
Sample Taken Date: 06/02/2017
Date that the sample was received by the laboratory/organization performing the testing: 06/02/2017
The quantity of what the sample constitutes: JMF
A brief description of the sample: virgin aggregate
From where was the sample collected: Manufacturer
Laboratory sample identification: D76964, 17-0221
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Eagle Peak Rock and Paving, Alturas, CA

Material Information

Source Identification (SMARA or name of Pit): 91-25-0029
The fabricator's/manufacturer's product name for the sample: Unknown
The fabricator/manufacturer designation for the sample: Unknown
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: JMF
Superpave or Non-superpave Mix: Superpave

Test Results

Test 1 of 2

DIME Test ID: 2017-06-02-6-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Submitted By Organization: CT D02 - North Region Materials Lab
Organization Address: 1657 Riverside Dr,MS-83
Organization City: Redding
Organization State: CA
Organization Zipcode: 96001
Organization Email: ward.jenkins@dot.ca.gov
Organization Phone: (530) 225-3194
Data has not been verified.

Test 2 of 2

DIME Test ID: 2017-06-02-6-2
Test Method: AASHTO T104-11: Standard Method of Test for Soundness of Aggregate by Use of Sodium Sulfate or Magnesium Sulfate (Soundness)
Verified Date: 07/31/2017
Date Tested: 07/31/2017
Submitted By Organization: CT HQ - Sacramento Aggregate Testing Laboratory
Organization Address: 5900 Folsom Blvd,
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 loss is 5.5%
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) 668.6 grams
Mass of sample retained on the 3/8 in. sieve (before immersion) 332 grams
Mass of sample retained on the #4 sieve (before immersion) 299.3 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 5 %
Percent loss from sample retained on the No. 4 x 8 sieve (coarse) 6 %
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

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.