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Sample Record for 2019-01-21-7

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

Project Information

Project ID: 213469 DEA: 024C40V4 EFIS: 0218000125 QA Service Level: 1
DIST-CO-RTE-PM: 02-SHA-5-R3.8/R11.7
Work Description: WIDEN TO 6 LANES, BRIDGE REPLACEMENT AND WIDENING AND ROADWAY REHAB
Location Description: SHASTA COUNTY IN AND NEAR ANDERSON FROM ROUTE 5/273 SEPARATION TO 0.4 MILE SOUTH OF CHURN CREEK ROAD OVERCROSSING
Contractor Name: J.F. SHEA CONSTRUCTION
Contractor Address: P.O. BOX 494519, REDDING, CA 96049-4519
Resident Engineer: Henry Benner Structure Rep.: Eric Chaffee

Sample Information

DIME Sample ID: 2019-01-21-7
TL Number from the TL Form:
Sample Submitted By Organization: CT D02 - Redding Northern Regional Laboratory
Sample Organization Contact: (530) 225-3194
Type of Sample: Quality Control
Type of Material: Antistrip Additive
Sample Taken Date: 01/21/2019
Date that the sample was received by the laboratory/organization performing the testing: 01/21/2019
The quantity of what the sample constitutes: Mix Design
A brief description of the sample: Lime
From where was the sample collected: Manufacturer
Laboratory sample identification: 19-1001 314
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Fawndale Rock Quarry

Material Information

Antistrip Type: Lime - hydrated lime
Antistrip Additive Mix Number:
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2019-01-21-7-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 02/06/2019
Date Tested: 01/21/2019
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:
Additional Comments When Verified:
What type of gradation is being tested? HMA Gradation
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 100 %
Cumulative percent passing the #4 sieve 100 %
Cumulative percent passing the #8 sieve 100 %
Cumulative percent passing the #16 sieve 100 %
Cumulative percent passing the #30 sieve 97 %
Cumulative percent passing the #50 sieve 92 %
Cumulative percent passing the #100 sieve 86 %
Cumulative percent passing the #200 sieve 80 %