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Sample Record for 2017-05-18-13

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

Project Information

Project ID: 211872 DEA: 022H3604 EFIS: 0216000090 QA Service Level: 1
DIST-CO-RTE-PM: 02-SHA-5-1.8/R6.5
Work Description: COLD PLANE AC,RHMA-O,HMA,REPLACE AC SURFACING,GUARDRAILING,STRIPING
Location Description: SHASTA COUNTY IN AND NEAR ANDERSON AT VARIOUS LOCATIONS FROM 0.1 MILE SOUTH OF NORTH COTTONWOOD UNDERCROSSING TO 0.2 MILE SOUTH OF RIVERSIDE AVENUE OVERCROSSING
Contractor Name: J.F. SHEA CONSTRUCTION, INC.
Contractor Address: 17400 Clear Creek Road, Redding, CA 96001
Resident Engineer: Mike Zdenek Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2017-05-18-13
TL Number from the TL Form: 002254
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: 05/18/2017
Date that the sample was received by the laboratory/organization performing the testing: 05/18/2017
The quantity of what the sample constitutes: JMF Verification
A brief description of the sample: Sized, Untreated, Virgin Aggregates
From where was the sample collected: Source
Laboratory sample identification: D76940, 17-0216
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Fawndale Rock Quarry

Material Information

Source Identification (SMARA or name of Pit): SMARA ID No. 91-45-0017
The fabricator's/manufacturer's product name for the sample: 3/4 inch Type A HMA
The fabricator/manufacturer designation for the sample: 17dash1001dot290
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: Unknown
Superpave or Non-superpave Mix: Superpave

Test Results

Test 1 of 1

DIME Test ID: 2017-05-18-13-2
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 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: Coarse weighted average is 0.6% Fine weighted average is 3.1%
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) 669.4 grams
Mass of sample retained on the 3/8 in. sieve (before immersion) 330.3 grams
Mass of sample retained on the #4 sieve (before immersion) no data
Mass of sample retained on the #4 sieve (before immersion) 299.3 grams
Mass of sample retained on the #8 sieve (before immersion) 100 grams
Mass of sample retained on the #16 sieve (before immersion) 100 grams
Mass of sample retained on the #30 sieve (before immersion) 100 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 2 %
Percent loss from sample retained on the No. 30 x 50 sieve 4 %
Percent loss from sample retained on the #50 sieve 7 %
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

Tests Assigned to this Sample

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