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Sample Record for 2018-02-27-16

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

Project Information

Project ID: 212679 DEA: 023E7204 EFIS: 0200020154 QA Service Level: 1
DIST-CO-RTE-PM: 02-TEH-36-42.1/46.0
Work Description: COLD PLANING, PAVING, MINOR CONCRETE, ELECTRICAL AND STRIPING WORK.
Location Description: TEHAMA COUNTY IN AND NEAR RED BLUFF FROM EAST SAND SLOUGH BRIDGE TO 0.6 MILE EAST OF STICE ROAD
Contractor Name: TULLIS, INC.
Contractor Address: 16951 Clear Creek Rd., Redding, CA 96049
Resident Engineer: Anthony Granados Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2018-02-27-16
TL Number from the TL Form: 852088
Sample Submitted By Organization: CT D02 - North Region Materials Lab
Sample Organization Contact: (530) 225-3194
Type of Sample: Verification
Type of Material: Aggregate
Sample Taken Date: 02/27/2018
Date that the sample was received by the laboratory/organization performing the testing: 02/27/2018
The quantity of what the sample constitutes: JMF
A brief description of the sample: 3/8 inch Untreated Aggregate
From where was the sample collected: Manufacturer
Laboratory sample identification: D77292B
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Tullis, Inc - Northstate Asphalt - Redding, CA

Material Information

Source Identification (SMARA or name of Pit): 91-45-0057::SHASTA RANCH AGGREGATES
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 @ Plant
Where the material sample would have been placed if not sampled: Unknown
Primary Aggregate Nominal Size: 3/8 inch
The concrete mix design number: Unknown
Lot number:
Sublot number:

Test Results

Test 1 of 3

DIME Test ID: 2018-02-27-16-1
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: 02/27/2018
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
General Comments for this Test:
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
Total mass of material in the sample 1365.1 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 0 grams
Cumulative mass retained on the 1/2 in. sieve 0 grams
Cumulative mass retained on the 3/8 in. sieve 6 grams
Mass retained on the 1/4 in. sieve 647 grams
Cumulative mass retained on the #4 sieve 1092 grams
Total sample mass passing the #4 sieve 273.1 grams
Total mass of fine material in the sample 273.1 grams
Cumulative mass retained on the #8 sieve 225.9 grams
Cumulative mass retained on the #16 sieve 240.6 grams
Cumulative mass retained on the #30 sieve 246.5 grams
Cumulative mass retained on the #50 sieve 250.2 grams
Cumulative mass retained on the #100 sieve 253.8 grams
Cumulative mass retained on the #200 sieve 257.7 grams
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 100 %
Cumulative percent passing the 3/8 in. sieve 100 %
Cumulative percent passing the 1/4 in. sieve 53 %
Cumulative percent passing the #4 sieve 20 %
Cumulative percent passing the #8 sieve 3 %
Cumulative percent passing the #16 sieve 2 %
Cumulative percent passing the #30 sieve 2 %
Cumulative percent passing the #50 sieve 2 %
Cumulative percent passing the #100 sieve 1 %
Cumulative percent passing the #200 sieve 1.1 %

Test 2 of 3

DIME Test ID: 2018-02-27-16-2
Test Method: AASHTO T104-99r16: Standard Method of Test for Soundness of Aggregate by Use of Sodium Sulfate or Magnesium Sulfate (Soundness)
Verified Date: 04/12/2018
Date Tested: 04/12/2018
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:
Test Result Compliance: complies
Additional Comments When Verified:
Size of aggregate being tested Coarse Aggregate
What type of solution was used? Sodium sulfate
What was the condition of the solution? Previously used
Number of immersion cycles performed 5
Coarse weighted average loss 0.7 %

Test 3 of 3

DIME Test ID: 2018-02-27-16-3
Test Method: AASHTO T104-99r16: Standard Method of Test for Soundness of Aggregate by Use of Sodium Sulfate or Magnesium Sulfate (Soundness)
Verified Date: 04/13/2018
Date Tested: 04/12/2018
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:
Test Result Compliance: complies
Additional Comments When Verified: This is a correction of the data sent yesterday. I had some problems with DIME and the wrong data got sent.
Size of aggregate being tested Coarse Aggregate
What type of solution was used? Sodium sulfate
What was the condition of the solution? Previously used
Number of immersion cycles performed no data
Coarse weighted average loss 0.79 %

Tests Assigned to this Sample

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