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Sample Record for 2020-05-14-52

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

Project Information

Project ID: 214589 DEA: 020J1604 QA Service Level: 1
DIST-CO-RTE-PM: 02-PLU-284-0.0/8.3
Work Description: PLACE HMA (TYPE A), PRECOATED AGGREGATE (SEAL COAT), HMA (LEVELING).
Location Description: PLUMAS COUNTY NEAR CHILCOOT FROM ROUTE 70 TO 1 MILE NORTH OF LITTLE LAST CHANCE CREEK BRIDGE NUMBER 09-0072
Contractor Name: HAT CREEK CONSTRUCTION & MATERIALS, INC.
Contractor Address: 24339 STATE HIGHWAY 89 N.;, BURNEY CA 96013
Resident Engineer: Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-05-14-52
TL Number from the TL Form: 733193
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: 05/14/2020
Date that the sample was received by the laboratory/organization performing the testing: 05/18/2020
The quantity of what the sample constitutes: JMF Verification
A brief description of the sample: 3/8-inch Type A Treated Virgin Aggregate
From where was the sample collected: Manufacturer
Laboratory sample identification: D78435A
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Ward Lake Plant, Litchfield, CA

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-18-0008
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: Cold Feed
Where the material sample would have been placed if not sampled: Unknown
Primary Aggregate Nominal Size: 3/8 inch
The concrete mix design number: JMF 20-05-S1a
Lot number: Unknown
Sublot number: Unknown
Aggregate Mix Number:
Test results on following page(s): 3

Test Results

Test 1 of 3

DIME Test ID: 2020-05-14-52-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 07/10/2020
Date Tested: 05/19/2020
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 100 %
Cumulative percent passing the 3/8 in. sieve 93.2 %
Cumulative percent passing the 1/4 in. sieve 68.2 %
Cumulative percent passing the #4 sieve 55.9 %
Cumulative percent passing the #8 sieve 37.3 %
Cumulative percent passing the #16 sieve 25 %
Cumulative percent passing the #30 sieve 16.6 %
Cumulative percent passing the #50 sieve 10.8 %
Cumulative percent passing the #100 sieve 7 %
Cumulative percent passing the #200 sieve 5.1 %

Test 2 of 3

DIME Test ID: 2020-05-14-52-2
Test Method: AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)
Verified Date: 07/10/2020
Date Tested: 07/08/2020
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:
Basis for relative density testing Bulk
Specific Gravity 2.585
Absorption 2.5 %

Test 3 of 3

DIME Test ID: 2020-05-14-52-3
Test Method: AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity)
Verified Date: 07/10/2020
Date Tested: 07/09/2020
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:
Bulk specific gravity 2.567
Bulk specific gravity (SSD Basis) 2.647
Apparent specific gravity 2.789
Absorption 3.1 %