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Sample Record for 2019-04-29-12

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Project Information

Project ID: 213720 DEA: 024H2004 EFIS: 0218000094 QA Service Level: 1
DIST-CO-RTE-PM: 02-SHA-89-26.3/29.2
Work Description: PAVEMENT OVERLAY
Location Description: SHASTA COUNTY ABOUT 10 MILES NORTH OF BURNEY FROM 0.3 MILE NORTH OF CLARK CREEK ROAD TO LAKE BRITTON BRIDGE
Contractor Name: Hat Creek Construction
Contractor Address: 24339 Highway 89 N, Burney, CA 96013
Resident Engineer: TOFAEL ANWAR Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2019-04-29-12
TL Number from the TL Form: 001581
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: 04/29/2019
Date that the sample was received by the laboratory/organization performing the testing: 04/29/2019
The quantity of what the sample constitutes: JMF Verification
A brief description of the sample: 3/4-inch Untreated Aggregate
From where was the sample collected: Source
Laboratory sample identification: D77857A_19-CHMA-0097
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Shaw pit

Material Information

Source Identification (SMARA or name of Pit): 91-25-0008::SHAW PIT
The fabricator's/manufacturer's product name for the sample: Unknown
The fabricator/manufacturer designation for the sample: 19-1278.105A
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 19-04-S2
Lot number: 0
Sublot number: 0

Test Results

Test 1 of 2

DIME Test ID: 2019-04-29-12-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 05/30/2019
Date Tested: 04/30/2019
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
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 95.7 %
Cumulative percent passing the 1/2 in. sieve 29.4 %
Cumulative percent passing the 3/8 in. sieve 4.9 %
Cumulative percent passing the 1/4 in. sieve 1.6 %
Cumulative percent passing the #4 sieve 1.4 %
Cumulative percent passing the #8 sieve 1.2 %
Cumulative percent passing the #16 sieve 1.1 %
Cumulative percent passing the #30 sieve 1.1 %
Cumulative percent passing the #50 sieve 1 %
Cumulative percent passing the #100 sieve 0.9 %
Cumulative percent passing the #200 sieve 0.84 %

Test 2 of 2

DIME Test ID: 2019-04-29-12-2
Test Method: AASHTO T104-99r16: Standard Method of Test for Soundness of Aggregate by Use of Sodium Sulfate or Magnesium Sulfate (Soundness)
Verified Date: 06/28/2019
Date Tested: 06/27/2019
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:
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 5.5 %

Tests Assigned to this Sample

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