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Sample Record for 2018-02-14-2

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

Project Information

Project ID: 9999 DEA: 00000000 EFIS: 0000000000 COOP: 99999333399 MINOR: 333333 Permit Numbers: 555555 0400NRT0000 QA Service Level: 1
DIST-CO-RTE-PM: 03-SAC,OMG-888,99,80-0.6-0.6
Work Description: THIS PROJECT RECORD WAS ADDED FOR DIME DEVELOPERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Location Description: THIS PROJECT RECORD WAS ADDED FOR DIME DEVELOPERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Contractor Name: YYZ
Contractor Address: 1234 address, Sacramento, CA 95824
Resident Engineer: RE_first RE_last Structure Rep.: SR_First SR_Last

Sample Information

DIME Sample ID: 2018-02-14-2
TL Number from the TL Form: 23234
Sample Submitted By Organization: CT D02 - Redding Northern Regional Laboratory
Sample Organization Contact: (530) 225-3194
Type of Sample: Verification
Type of Material: Aggregate
Sample Taken Date: 02/14/2018
Date that the sample was received by the laboratory/organization performing the testing: 02/14/2018
The quantity of what the sample constitutes: 4 Bags
A brief description of the sample: 3/4 x 3/8-inch
From where was the sample collected: Source
Laboratory sample identification: D7547
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: SNC - Mustang Asphalt Plant

Material Information

Source Identification (SMARA or name of Pit): MSHA IDs 2602089
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: stockpile
Where the material sample would have been placed if not sampled: Unknown
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number: Unknown
Lot number:
Sublot number:
Aggregate Mix Number:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2018-02-14-2-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 02/14/2018
Date Tested: 02/14/2018
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:
Test Result Compliance: does not comply
Additional Comments When Verified:
What type of gradation is being tested? HMA Gradation
Does this test use 1/4 sieve? (question for HMA Gradation Type) Yes
Has the fine aggregate sample been reduced? No
Total mass of material in the sample 5140 grams
Cumulative mass retained on the 1 1/2 in. sieve 0 grams
Cumulative mass retained on the 1 in. sieve 0 grams
Cumulative mass retained on the 3/4 in. sieve 45 grams
Cumulative mass retained on the 1/2 in. sieve 255 grams
Cumulative mass retained on the 3/8 in. sieve 580 grams
Cumulative mass retained on the 1/4 in. sieve 1002 grams
Cumulative mass retained on the #4 sieve 800 grams
Cumulative mass retained on the #8 sieve 50 grams
Cumulative mass retained on the #16 sieve 90 grams
Cumulative mass retained on the #30 sieve 100 grams
Cumulative mass retained on the #50 sieve 240 grams
Cumulative mass retained on the #100 sieve 380 grams
Cumulative mass retained on the #200 sieve 465 grams
Cumulative mass retained on the pan no data
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 99 %
Cumulative percent passing the 1/2 in. sieve 95 %
Cumulative percent passing the 3/8 in. sieve 89 %
Cumulative percent passing the 1/4 in. sieve 81 %
Cumulative percent passing the #4 sieve 84 %
Cumulative percent passing the #8 sieve 76 %
Cumulative percent passing the #16 sieve 69 %
Cumulative percent passing the #30 sieve 68 %
Cumulative percent passing the #50 sieve 44 %
Cumulative percent passing the #100 sieve 21 %
Cumulative percent passing the #200 sieve 7.4 %

Test 2 of 2

DIME Test ID: 2018-02-14-2-2
Test Method: AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent)
Verified Date: 02/14/2018
Date Tested: 02/14/2018
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:
Test Result Compliance: does not comply
Additional Comments When Verified:
Sand Equivalent 43