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Sample Record for 2019-04-02-24

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

Project Information

Project ID: 213912 DEA: 033H71U4 EFIS: 0319000051 QA Service Level: 1
DIST-CO-RTE-PM: 03-BUT-70-8.8/12.1
Work Description: WIDEN RDWY, RDWY EX, HMA & MODIFY ELECT SYSTEM.
Location Description: BUTTE COUNTY NEAR OROVILLE FROM 0.1 MILE SOUTH OF PALERMO ROAD TO 0.6 MILE NORTH OF OPHIR ROAD
Contractor Name: A. TEICHERT & SON, INC. DBA TEICHERT CONSTRUCTION
Contractor Address: 400 Sunrise Ave. Ste. 300, Roseville, CA 95661
Resident Engineer: Ryan Johnson Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2019-04-02-24
TL Number from the TL Form:
Sample Submitted By Organization: Teichert Materials - Sacramento
Sample Organization Contact: (916) 386-6974
Type of Sample: Quality Control
Type of Material: Aggregate
Sample Taken Date: 04/02/2019
Date that the sample was received by the laboratory/organization performing the testing: 04/10/2019
The quantity of what the sample constitutes: 500 tons
A brief description of the sample: QC for Assembling JMF
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Teichert Materials Hallwood

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-58-0006::HALLWOOD PLANT
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: HMA Plant Cold Feed
Where the material sample would have been placed if not sampled: Unknown
Primary Aggregate Nominal Size: fine
The concrete mix design number: Unknown
Lot number: Unknown
Sublot number: Unknown
Aggregate Mix Number:
Test results on following page(s): 7

Test Results

Test 1 of 7

DIME Test ID: 2019-04-02-24-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 06/04/2019
Date Tested: 04/18/2019
Submitted By Organization: Teichert Materials - Sacramento
Organization Address: 3500 American River Drive,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95864
Organization Email: egifford@teichert.com
Organization Phone: (916) 386-6974
General Comments for this Test: Dust
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 0 %
Cumulative percent passing the #4 sieve 100 %
Cumulative percent passing the #8 sieve 75 %
Cumulative percent passing the #16 sieve 50 %
Cumulative percent passing the #30 sieve 41 %
Cumulative percent passing the #50 sieve 23 %
Cumulative percent passing the #100 sieve 16 %
Cumulative percent passing the #200 sieve 13.2 %

Test 2 of 7

DIME Test ID: 2019-04-02-24-2
Test Method: AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent)
Verified Date: 06/05/2019
Date Tested: 04/02/2019
Submitted By Organization: Teichert Materials - Sacramento
Organization Address: 3500 American River Drive,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95864
Organization Email: egifford@teichert.com
Organization Phone: (916) 386-6974
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sand Equivalent 74

Test 3 of 7

DIME Test ID: 2019-04-02-24-3
Test Method: AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)
Verified Date: 06/05/2019
Date Tested: 04/02/2019
Submitted By Organization: Teichert Materials - Sacramento
Organization Address: 3500 American River Drive,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95864
Organization Email: egifford@teichert.com
Organization Phone: (916) 386-6974
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Method 2 - Individual Fracture Determination
Aggregate Size and Fracture Type Fine 1 Faced
Percentage of fractured, fine, 1 faced particles tested 100 %

Test 4 of 7

DIME Test ID: 2019-04-02-24-4
Test Method: CTM 204-June 2010: Method of Test for Liquid Limit, Plastic Limit and Plasticity Index of Soils (Plasticity Index)
Verified Date: 06/05/2019
Date Tested: 04/02/2019
Submitted By Organization: Teichert Materials - Sacramento
Organization Address: 3500 American River Drive,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95864
Organization Email: egifford@teichert.com
Organization Phone: (916) 386-6974
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Plastic Index(PI) 0
Liquid Limit (LL) 0 %
Plastic Limit (PL) 0 %

Test 5 of 7

DIME Test ID: 2019-04-02-24-5
Test Method: AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity)
Verified Date: 06/05/2019
Date Tested: 04/02/2019
Submitted By Organization: Teichert Materials - Sacramento
Organization Address: 3500 American River Drive,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95864
Organization Email: egifford@teichert.com
Organization Phone: (916) 386-6974
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Bulk specific gravity 2.712
Bulk specific gravity (SSD Basis) 2.747
Apparent specific gravity 2.812
Absorption 1.3 %

Test 6 of 7

DIME Test ID: 2019-04-02-24-6
Test Method: AASHTO T210-15: Standard Method of Test for Aggregate Durability Index (Durability Index)
Verified Date: 06/05/2019
Date Tested: 04/02/2019
Submitted By Organization: Teichert Materials - Sacramento
Organization Address: 3500 American River Drive,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95864
Organization Email: egifford@teichert.com
Organization Phone: (916) 386-6974
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Which test procedure(s) is/are used? Procedure A
Was strict temperature control maintained? Yes
What type of water was used? Distilled
Durability Index (coarse) 62

Test 7 of 7

DIME Test ID: 2019-04-02-24-7
Test Method: AASHTO T104-99r16: Standard Method of Test for Soundness of Aggregate by Use of Sodium Sulfate or Magnesium Sulfate (Soundness)
Verified Date: 06/05/2019
Date Tested: 04/02/2019
Submitted By Organization: Teichert Materials - Sacramento
Organization Address: 3500 American River Drive,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95864
Organization Email: egifford@teichert.com
Organization Phone: (916) 386-6974
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Size of aggregate being tested Fine Aggregate
What type of solution was used? Sodium sulfate
What was the condition of the solution? Freshly prepared
Number of immersion cycles performed 5
Fine weighted average loss 1.7 %