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Sample Record for 2019-10-25-21

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

Project Information

Project ID: 66667 DEA: JMFPP EFIS: 0019000043 QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for submitting Sample information for JMF Prequalification Program.
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2019-10-25-21
TL Number from the TL Form: 911405
Sample Submitted By Organization: CT D01 - Field Laboratory
Sample Organization Contact: (707) 445-6373
Type of Sample: Verification
Type of Material: Aggregate
Sample Taken Date: 10/25/2019
Date that the sample was received by the laboratory/organization performing the testing: 11/01/2019
The quantity of what the sample constitutes: JMF Prequalification
A brief description of the sample: 3/4" Combined Aggregate
From where was the sample collected: Manufacturer
Laboratory sample identification: 19-263
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Syar Indunsties Lake Herman Batch

Material Information

Source Identification (SMARA or name of Pit): 91-48-0002::LAKE HERMAN QUARRY
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: Batch Plant Hot Bins
Where the material sample would have been placed if not sampled: Unknown
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number: Unknown
Lot number: Unknown
Sublot number: Unknown

Test Results

Test 1 of 9

DIME Test ID: 2019-10-25-21-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 12/04/2019
Date Tested: 12/04/2019
Submitted By Organization: CT D01 - Field Laboratory
Organization Address: 1726 Albee St,
Organization City: Eureka
Organization State: CA
Organization Zipcode: 95501
Organization Email: leif.ayres@dot.ca.gov
Organization Phone: (707) 445-6373
General Comments for this Test: Combined Grading from 4 hot bins and mineral filler
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 85 %
Cumulative percent passing the 1 in. sieve 85 %
Cumulative percent passing the 3/4 in. sieve 83.4 %
Cumulative percent passing the 1/2 in. sieve 67.5 %
Cumulative percent passing the 3/8 in. sieve 57.8 %
Cumulative percent passing the 1/4 in. sieve 42.5 %
Cumulative percent passing the #4 sieve 42.5 %
Cumulative percent passing the #8 sieve 27.7 %
Cumulative percent passing the #16 sieve 16.6 %
Cumulative percent passing the #30 sieve 9.9 %
Cumulative percent passing the #50 sieve 6.1 %
Cumulative percent passing the #100 sieve 4 %
Cumulative percent passing the #200 sieve 2.8 %

Test 2 of 9

DIME Test ID: 2019-10-25-21-2
Test Method: AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)
Verified Date: 12/04/2019
Date Tested: 12/04/2019
Submitted By Organization: CT D01 - Field Laboratory
Organization Address: 1726 Albee St,
Organization City: Eureka
Organization State: CA
Organization Zipcode: 95501
Organization Email: leif.ayres@dot.ca.gov
Organization Phone: (707) 445-6373
General Comments for this Test:
Additional Comments When Verified:
Method 1 - Combined Fracture Determination
Aggregate Size and Fracture Type Coarse 1 and 2 Faced and Fine 1 Faced
Percentage of fractured, coarse, 2 faced particles tested 100 %
Percentage of fractured, coarse, 1 faced particles tested 100 %
Percentage of fractured, fine, 1 faced particles tested 100 %

Test 3 of 9

DIME Test ID: 2019-10-25-21-3
Test Method: AASHTO T96-02r10: Standard Method of Test for Resistance to Degradation of Small-Size Coarse Aggregate by Abrasion and Impact in the Los Angeles Machine (Los Angeles Rattler)
Verified Date: 12/04/2019
Date Tested: 12/04/2019
Submitted By Organization: CT D01 - Field Laboratory
Organization Address: 1726 Albee St,
Organization City: Eureka
Organization State: CA
Organization Zipcode: 95501
Organization Email: leif.ayres@dot.ca.gov
Organization Phone: (707) 445-6373
General Comments for this Test:
Additional Comments When Verified:
Grading designation B
Percent loss after 100 revolutions 4 %
Percent loss after 500 revolutions 16 %

Test 4 of 9

DIME Test ID: 2019-10-25-21-4
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: 12/04/2019
Date Tested: 12/04/2019
Submitted By Organization: CT D01 - Field Laboratory
Organization Address: 1726 Albee St,
Organization City: Eureka
Organization State: CA
Organization Zipcode: 95501
Organization Email: leif.ayres@dot.ca.gov
Organization Phone: (707) 445-6373
General Comments for this Test:
Additional Comments When Verified:
Sand Equivalent 77

Test 5 of 9

DIME Test ID: 2019-10-25-21-5
Test Method: AASHTO T304-11: Standard Method of Test for Uncompacted Void Content of Fine Aggregate (Fine of Crushed Particles)
Verified Date: 12/04/2019
Date Tested: 12/04/2019
Submitted By Organization: CT D01 - Field Laboratory
Organization Address: 1726 Albee St,
Organization City: Eureka
Organization State: CA
Organization Zipcode: 95501
Organization Email: leif.ayres@dot.ca.gov
Organization Phone: (707) 445-6373
General Comments for this Test:
Additional Comments When Verified:
What test method is performed? Method A
Bulk dry specific gravity 2.522
Average uncompacted voids 45.5 %

Test 6 of 9

DIME Test ID: 2019-10-25-21-6
Test Method: ASTM D4791-10: Standard Test Method for Flat Particles, Elongated Particles, or Flat and Elongated Particles in Coarse Aggregate (Withdrawn 2019) (Flat and Elongated Particles)
Verified Date: 12/04/2019
Date Tested: 12/04/2019
Submitted By Organization: CT D01 - Field Laboratory
Organization Address: 1726 Albee St,
Organization City: Eureka
Organization State: CA
Organization Zipcode: 95501
Organization Email: leif.ayres@dot.ca.gov
Organization Phone: (707) 445-6373
General Comments for this Test:
Additional Comments When Verified:
Method B
Determination By Mass
Dimensional ratio used 1:5
Weighted percentage of particles (by mass) that were flat and elongated 0 %
Weighted percentage of particles (by mass) that were not flat and elongated 100 %

Test 7 of 9

DIME Test ID: 2019-10-25-21-7
Test Method: AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity)
Verified Date: 12/04/2019
Date Tested: 12/04/2019
Submitted By Organization: CT D01 - Field Laboratory
Organization Address: 1726 Albee St,
Organization City: Eureka
Organization State: CA
Organization Zipcode: 95501
Organization Email: leif.ayres@dot.ca.gov
Organization Phone: (707) 445-6373
General Comments for this Test:
Additional Comments When Verified:
Bulk specific gravity 2.522
Bulk specific gravity (SSD Basis) 2.625
Apparent specific gravity 2.810
Absorption 4.1 %

Test 8 of 9

DIME Test ID: 2019-10-25-21-8
Test Method: AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)
Verified Date: 12/04/2019
Date Tested: 12/04/2019
Submitted By Organization: CT D01 - Field Laboratory
Organization Address: 1726 Albee St,
Organization City: Eureka
Organization State: CA
Organization Zipcode: 95501
Organization Email: leif.ayres@dot.ca.gov
Organization Phone: (707) 445-6373
General Comments for this Test:
Additional Comments When Verified:
Basis for relative density testing Bulk
Specific Gravity 2.599
Absorption 3 %

Test 9 of 9

DIME Test ID: 2019-10-25-21-9
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 12/04/2019
Date Tested: 12/04/2019
Submitted By Organization: CT D01 - Field Laboratory
Organization Address: 1726 Albee St,
Organization City: Eureka
Organization State: CA
Organization Zipcode: 95501
Organization Email: leif.ayres@dot.ca.gov
Organization Phone: (707) 445-6373
General Comments for this Test: Combined Grading from 4 hot bins and mineral filler
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 98.1 %
Cumulative percent passing the 1/2 in. sieve 79.4 %
Cumulative percent passing the 3/8 in. sieve 68 %
Cumulative percent passing the 1/4 in. sieve 50 %
Cumulative percent passing the #4 sieve 50 %
Cumulative percent passing the #8 sieve 32.6 %
Cumulative percent passing the #16 sieve 19.5 %
Cumulative percent passing the #30 sieve 11.6 %
Cumulative percent passing the #50 sieve 7.2 %
Cumulative percent passing the #100 sieve 4.7 %
Cumulative percent passing the #200 sieve 3.3 %

Tests Assigned to this Sample

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