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Sample Record for 2019-03-07-13

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

Project Information

Project ID: 212816 DEA: 020H6304 EFIS: 0215000063 QA Service Level: 1
DIST-CO-RTE-PM: 02-LAS-139-6.2/7.3
Work Description: ROADWAY EXCAVATION, AGGREGATE BASE, HOT MIX ASPHALT, GUARDRAIL
Location Description: LASSEN COUNTY ABOUT 6 MILES NORTH OF SUSANVILLE FROM 1.0 MILE SOUTH TO 0.1 MILE SOUTH OF ANTELOPE RADIO STREET
Contractor Name: Knife River Construction
Contractor Address: 1764 Skyway, CHICO, CA 95928
Resident Engineer: John Yolton Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2019-03-07-13
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: Aggregate
Sample Taken Date: 03/07/2019
Date that the sample was received by the laboratory/organization performing the testing: 03/07/2019
The quantity of what the sample constitutes: Mix Design
A brief description of the sample: 3/8″ Untreated Aggregate
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Orland Plant

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-11-0007::ORLAND PLANT
The fabricator's/manufacturer's product name for the sample: Unknown
The fabricator/manufacturer designation for the sample: OR-22251000
The plant number: Unknown
A detailed description of where the material sample was collected: Untreated Stockpile
Where the material sample would have been placed if not sampled: Unknown
Primary Aggregate Nominal Size: 3/8 inch
The concrete mix design number: JMF 19-02-S1
Lot number: 0
Sublot number: 0
Aggregate Mix Number:

Test Results

Test 1 of 2

DIME Test ID: 2019-03-07-13-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Submitted By Organization: CT D02 - Redding Northern Regional Laboratory
Organization Address: 1657 Riverside Drive, MS-83,
Organization City: Redding
Organization State: CA
Organization Zipcode: 96001
Organization Email: ward.jenkins@dot.ca.gov
Organization Phone: (530) 225-3194
This test has been superseded on 04/09/2019.
Reason: corrected

Test 2 of 2

DIME Test ID: 2019-03-07-13-2
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 04/09/2019
Date Tested: 03/07/2019
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 93.9 %
Cumulative percent passing the 1/4 in. sieve 52.6 %
Cumulative percent passing the #4 sieve 11.2 %
Cumulative percent passing the #8 sieve 2.3 %
Cumulative percent passing the #16 sieve 1.5 %
Cumulative percent passing the #30 sieve 1.1 %
Cumulative percent passing the #50 sieve 0.8 %
Cumulative percent passing the #100 sieve 0.5 %
Cumulative percent passing the #200 sieve 0.4 %