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Sample Record for 2020-05-22-18

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Project Information

Project ID: 212866 DEA: 021H9704 EFIS: 0216000051 QA Service Level: 1
DIST-CO-RTE-PM: 02-TEH-36-12.6/13.1
Work Description: CURVE REALIGNMENT AND HMA PAVING.
Location Description: TEHAMA COUNTY ABOUT 16 MILES EAST OF PLATINA FROM 2.3 MILES EAST TO 2.8 MILES EAST OF DRY CREEK BRIDGE
Contractor Name: Tullis Inc
Contractor Address: 16951 Clear Creek Road, Redding, CA 96001
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-05-22-18
TL Number from the TL Form: 897705
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: 05/22/2020
Date that the sample was received by the laboratory/organization performing the testing: 05/22/2020
The quantity of what the sample constitutes: JMF Verification
A brief description of the sample: 3/4″ Sized Untreated Virgin Aggregate
From where was the sample collected: Source
Laboratory sample identification: D78443A
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Shasta Ranch Aggregates - Anderson, CA

Material Information

Source Identification (SMARA or name of Pit): 91-45-0057
The fabricator's/manufacturer's product name for the sample:
The fabricator/manufacturer designation for the sample:
The plant number:
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:
Primary Aggregate Nominal Size: 1 inch
The concrete mix design number: JMF 20-09-S1
Lot number:
Sublot number:

Test Results

Test 1 of 2

DIME Test ID: 2020-05-22-18-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 07/16/2020
Date Tested: 05/23/2020
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
Total mass of material in the sample 7174.3 grams
Cumulative mass retained on the 1 1/2 in. sieve 0 grams
Cumulative mass retained on the 1 in. sieve 0 grams
Cumulative mass retained on the 3/4 in. sieve 743 grams
Cumulative mass retained on the 1/2 in. sieve 4712 grams
Cumulative mass retained on the 3/8 in. sieve 6239 grams
Mass retained on the 1/4 in. sieve 6888 grams
Cumulative mass retained on the #4 sieve 6943 grams
Total sample mass passing the #4 sieve 231.3 grams
Total mass of fine material in the sample 231.3 grams
Cumulative mass retained on the #8 sieve 62.7 grams
Cumulative mass retained on the #16 sieve 104.3 grams
Cumulative mass retained on the #30 sieve 130.2 grams
Cumulative mass retained on the #50 sieve 149.4 grams
Cumulative mass retained on the #100 sieve 166.2 grams
Cumulative mass retained on the #200 sieve 180.7 grams
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 89.6 %
Cumulative percent passing the 1/2 in. sieve 34.3 %
Cumulative percent passing the 3/8 in. sieve 13 %
Cumulative percent passing the 1/4 in. sieve 4 %
Cumulative percent passing the #4 sieve 3.2 %
Cumulative percent passing the #8 sieve 2.3 %
Cumulative percent passing the #16 sieve 1.8 %
Cumulative percent passing the #30 sieve 1.4 %
Cumulative percent passing the #50 sieve 1.1 %
Cumulative percent passing the #100 sieve 0.9 %
Cumulative percent passing the #200 sieve 0.7 %

Test 2 of 2

DIME Test ID: 2020-05-22-18-2
Test Method: AASHTO T104-99r16: Standard Method of Test for Soundness of Aggregate by Use of Sodium Sulfate or Magnesium Sulfate (Soundness)
Verified Date: 08/05/2020
Date Tested: 08/05/2020
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 0.9 %

Tests Assigned to this Sample

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