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Sample Record for 2019-04-18-9

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

Project Information

Project ID: 213336 DEA: 023E7404 EFIS: 0200020160 QA Service Level: 1
DIST-CO-RTE-PM: 02-SHA-299-R7.6/18.3
Work Description: PAVEMENT PRESERVATION
Location Description: SHASTA COUNTY AT AND NEAR SHASTA FROM 0.5 MILE WEST OF CRYSTAL CREEK ROAD TO TRINITY ALLEY
Contractor Name: Tullis, Inc
Contractor Address: P.O box 493416, Redding, CA 96001
Resident Engineer: Mandhir Grewal Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2019-04-18-9
TL Number from the TL Form: 001578
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: 04/18/2019
Date that the sample was received by the laboratory/organization performing the testing: 04/18/2019
The quantity of what the sample constitutes: JMF Verification
A brief description of the sample: 5/8″ Untreated Virgin Aggregate
From where was the sample collected: Manufacturer
Laboratory sample identification: D77837A
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Northstate Asphalt

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-45-0057::SHASTA RANCH AGGREGATES
The fabricator's/manufacturer's product name for the sample: Unknown
The fabricator/manufacturer designation for the sample: L190300
The plant number: Unknown
A detailed description of where the material sample was collected: Sized Untreated Aggregate 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: JMF 19-07-S1
Lot number: 0
Sublot number: 0
Aggregate Mix Number:

Test Results

Test 1 of 2

DIME Test ID: 2019-04-18-9-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 05/15/2019
Date Tested: 04/19/2019
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 73.3 %
Cumulative percent passing the 3/8 in. sieve 22 %
Cumulative percent passing the 1/4 in. sieve 3.3 %
Cumulative percent passing the #4 sieve 2.5 %
Cumulative percent passing the #8 sieve 1.7 %
Cumulative percent passing the #16 sieve 1.5 %
Cumulative percent passing the #30 sieve 1.3 %
Cumulative percent passing the #50 sieve 1.2 %
Cumulative percent passing the #100 sieve 1 %
Cumulative percent passing the #200 sieve 0.87 %

Test 2 of 2

DIME Test ID: 2019-04-18-9-2
Test Method: AASHTO T104-99r16: Standard Method of Test for Soundness of Aggregate by Use of Sodium Sulfate or Magnesium Sulfate (Soundness)
Verified Date: 06/12/2019
Date Tested: 06/12/2019
Submitted By Organization: CT HQ - Sacramento Aggregate Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
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:
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 1.3 %