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 - Redding Northern Regional Laboratory
Sample Organization Contact: (530) 225-3194
Type of Sample: Verification
Type of Material: Job Mix Formula Partial
Sample Taken Date: 05/18/2017
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, name of Pit or Job Site): 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 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 0.6%
Fine weighted average is 3.1%
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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669.4 grams
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Mass of sample retained on the 3/8 in. sieve (before immersion)
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330.3 grams
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Mass of sample retained on the #4 sieve (before immersion)
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no data
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Mass of sample retained on the #4 sieve (before immersion)
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299.3 grams
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Mass of sample retained on the #8 sieve (before immersion)
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100 grams
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Mass of sample retained on the #16 sieve (before immersion)
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100 grams
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Mass of sample retained on the #30 sieve (before immersion)
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100 grams
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Mass of sample retained on the #50 sieve (before immersion)
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100.1 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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1 %
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Percent loss from sample retained on the No. 4 x 8 sieve (coarse)
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1 %
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Percent loss from sample retained on the No. 4 x 8 sieve (fine)
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0 %
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Percent loss from sample retained on the No. 8 x 16 sieve
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3 %
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Percent loss from sample retained on the No. 16 x 30 sieve
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2 %
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Percent loss from sample retained on the No. 30 x 50 sieve
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4 %
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Percent loss from sample retained on the #50 sieve
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7 %
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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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Fine weighted average loss
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no data
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