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Sample Record for 2019-10-29-4

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

Project Information

DEA: No Project QA Service Level:
DIST-CO-RTE-PM: ---
Work Description: Special project identifier for material not associated with a project
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2019-10-29-4
TL Number from the TL Form:
Sample Submitted By Organization: CT D01 - District 1 Materials Laboratory
Sample Organization Contact: (707) 496-0974
Type of Sample: Quality Control
Type of Material: Aggregate
Sample Taken Date: 10/29/2019
Date that the sample was received by the laboratory/organization performing the testing: 10/29/2019
The quantity of what the sample constitutes: jmf
A brief description of the sample: 3/8 inch
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Mercer Fraser B

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-12-0002::SANDY PRAIRIE
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: Stockpile
Where the material sample would have been placed if not sampled: Unknown
Primary Aggregate Nominal Size: 1/2 inch
The concrete mix design number: Unknown
Lot number: Unknown
Sublot number: Unknown
Aggregate Mix Number:
Test results on following page(s): 4

Test Results

Test 1 of 4

DIME Test ID: 2019-10-29-4-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Submitted By Organization: CT D01 - District 1 Materials Laboratory
Organization Address: 1726 Albee Street,RSP #1
Organization City: Eureka
Organization State: CA
Organization Zipcode: 95501
Organization Email: leif.ayres@dot.ca.gov
Organization Phone: (707) 496-0974
This test has been superseded on 10/29/2019.
Reason: corrected

Test 2 of 4

DIME Test ID: 2019-10-29-4-2
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Submitted By Organization: CT D01 - District 1 Materials Laboratory
Organization Address: 1726 Albee Street,RSP #1
Organization City: Eureka
Organization State: CA
Organization Zipcode: 95501
Organization Email: leif.ayres@dot.ca.gov
Organization Phone: (707) 496-0974
This test has been superseded on 10/29/2019.
Reason: corrected

Test 3 of 4

DIME Test ID: 2019-10-29-4-3
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 10/29/2019
Date Tested: 10/29/2019
Submitted By Organization: CT D01 - District 1 Materials Laboratory
Organization Address: 1726 Albee Street,
Organization City: Eureka
Organization State: CA
Organization Zipcode: 95501
Organization Email: leif.ayres@dot.ca.gov
Organization Phone: (707) 496-0974
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
What type of gradation is being tested? Combined Gradation
Cumulative percent passing the 2 in. sieve 100 %
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 94 %
Cumulative percent passing the #4 sieve 4 %
Cumulative percent passing the #8 sieve 1 %
Cumulative percent passing the #16 sieve 1 %
Cumulative percent passing the #30 sieve 1 %
Cumulative percent passing the #50 sieve 1 %
Cumulative percent passing the #100 sieve 1 %
Cumulative percent passing the #200 sieve 0.7 %

Test 4 of 4

DIME Test ID: 2019-10-29-4-4
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 10/29/2019
Date Tested: 10/29/2019
Submitted By Organization: CT D01 - District 1 Materials Laboratory
Organization Address: 1726 Albee Street,
Organization City: Eureka
Organization State: CA
Organization Zipcode: 95501
Organization Email: leif.ayres@dot.ca.gov
Organization Phone: (707) 496-0974
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 94 %
Cumulative percent passing the 1/4 in. sieve 0 %
Cumulative percent passing the #4 sieve 4 %
Cumulative percent passing the #8 sieve 1 %
Cumulative percent passing the #16 sieve 1 %
Cumulative percent passing the #30 sieve 1 %
Cumulative percent passing the #50 sieve 1 %
Cumulative percent passing the #100 sieve 1 %
Cumulative percent passing the #200 sieve 0.7 %