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Sample Record for 2018-02-20-7

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

Project Information

Project ID: 212852 DEA: 010H7604 EFIS: 0118000101 QA Service Level: 1
DIST-CO-RTE-PM: 01-MEN-101-33.0/42.0
Work Description: Fire Damage Repairs: Roadway Repair, Drainage/Slope Repair, Erosion Control, Fencing, MBGR and Sign Replacement, Hazard Tree and Debris Removal.
Location Description:
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 1324 S. State Street, Ukiah, CA 95482
Resident Engineer: MUNES NASH Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2018-02-20-7
TL Number from the TL Form: 978554
Sample Submitted By Organization: CT D01 - Field Laboratory
Sample Organization Contact: (707) 445-6373
Type of Sample: Verification
Type of Material: Aggregate
Sample Taken Date: 02/20/2018
Date that the sample was received by the laboratory/organization performing the testing: 02/21/2018
The quantity of what the sample constitutes: Yearly Production
A brief description of the sample: 0.5in HMA-A 15 RAP PG64-16
From where was the sample collected: Manufacturer
Laboratory sample identification: 61894
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Granite Ukiah

Material Information

Source Identification (SMARA or name of Pit): 91-23-0015::HARRIS QUARRY, 91-17-0035 Highway 175
The fabricator's/manufacturer's product name for the sample: 1060_1/2 HMA64-16R15LAS-SP
The fabricator/manufacturer designation for the sample: 1060_1/2 HMA64-16R15LAS-SP
The plant number: Unknown
A detailed description of where the material sample was collected: Cold Feed
Where the material sample would have been placed if not sampled: Unknown
Primary Aggregate Nominal Size: 1/2 inch
The concrete mix design number: Unknown
Lot number:
Sublot number:

Test Results

Test 1 of 2

DIME Test ID: 2018-02-20-7-1
Test Method: AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)
Verified Date: 03/16/2018
Date Tested: 03/16/2018
Submitted By Organization: CT D01 - Field Laboratory
Organization Address: 1726 Albee St,
Organization City: Eureka
Organization State: CA
Organization Zipcode: 95501
Organization Email: leif.ayres@dot.ca.gov
Organization Phone: (707) 445-6373
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Method 1 - Combined Fracture Determination
Aggregate Size and Fracture Type Coarse 1 Faced
Percentage of fractured, coarse, 1 faced particles tested 100 %

Test 2 of 2

DIME Test ID: 2018-02-20-7-2
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 03/27/2018
Date Tested: 03/23/2018
Submitted By Organization: CT D01 - Field Laboratory
Organization Address: 1726 Albee St,
Organization City: Eureka
Organization State: CA
Organization Zipcode: 95501
Organization Email: leif.ayres@dot.ca.gov
Organization Phone: (707) 445-6373
General Comments for this Test: bin 1 1/2 in
Test Result Compliance:
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
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 86.9 %
Cumulative percent passing the 3/8 in. sieve 53.9 %
Cumulative percent passing the 1/4 in. sieve 53.9 %
Cumulative percent passing the #4 sieve 3.9 %
Cumulative percent passing the #8 sieve 2 %
Cumulative percent passing the #16 sieve 1 %
Cumulative percent passing the #30 sieve 1 %
Cumulative percent passing the #50 sieve 1 %
Cumulative percent passing the #100 sieve 1 %
Cumulative percent passing the #200 sieve 1 %

Tests Assigned to this Sample

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