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Sample Record for 2020-06-03-36

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Project Information

Project ID: 214582 DEA: 020J1704 EFIS: 0219000068 QA Service Level: 1
DIST-CO-RTE-PM: 02-SIS-3-36.0/38.1,R45.0/R46.9
Work Description: ASPHALT RUBBER CHIP SEAL WITH REPLACE AC SURFACING AND STRIPING.
Location Description: SISKIYOU COUNTY IN AND NEAR YREKA FROM 0.2 MILE NORTH OF REIDEL RANCH ROAD TO MOFFETT CREEK ROAD AND FROM 3.5 MILES NORTH OF UPPER SOAP CREEK ROAD TO 0.7 MILE NORTH OF RICHMAN ROAD
Contractor Name: AMERICAN PAVEMENT SYSTEMS, INC.
Contractor Address: 1012 11st.,Suit 1000, Modesto, CA
Resident Engineer: Nicole Mallory Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-06-03-36
TL Number from the TL Form: 990766
Sample Submitted By Organization: CT D02 - Redding Northern Regional Laboratory
Sample Organization Contact: (530) 225-3194
Type of Sample: Acceptance
Type of Material: Aggregate
Sample Taken Date: 06/03/2020
Date that the sample was received by the laboratory/organization performing the testing: 06/03/2020
The quantity of what the sample constitutes: not provided
A brief description of the sample: 3/8" Chips and Sand
From where was the sample collected: Manufacturer
Laboratory sample identification: D78454
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Northstate Asphalt

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-45-0061 LATONA AGGREGATES
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: stock pile
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/8 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:

Test Results

Test 1 of 5

DIME Test ID: 2020-06-03-36-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 10/12/2020
Date Tested: 06/03/2020
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? 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 98 %
Cumulative percent passing the 3/8 in. sieve 70 %
Cumulative percent passing the #4 sieve 6 %
Cumulative percent passing the #8 sieve 2 %
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 1 %

Test 2 of 5

DIME Test ID: 2020-06-03-36-2
Test Method: AASHTO T210-15: Standard Method of Test for Aggregate Durability Index (Durability Index)
Verified Date: 10/12/2020
Date Tested: 06/03/2020
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:
Which test procedure(s) is/are used? Procedure A and Procedure B
Was strict temperature control maintained? Yes
What type of water was used? Distilled
Durability Index (coarse) 85
Durability Index (fine) 66

Test 3 of 5

DIME Test ID: 2020-06-03-36-3
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: 10/12/2020
Date Tested: 06/03/2020
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:
Grading designation A
Percent loss after 100 revolutions 3.3 %
Percent loss after 500 revolutions 15.5 %

Test 4 of 5

DIME Test ID: 2020-06-03-36-5
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: 10/12/2020
Date Tested: 06/03/2020
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:
Method B
Determination By Number
Dimensional ratio used 3:1
Weighted percentage of particles (by number) that were flat and elongated 13 %
Weighted percentage of particles (by number) that were not flat and elongated 87 %

Test 5 of 5

DIME Test ID: 2020-06-03-36-6
Test Method: AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)
Verified Date: 10/12/2020
Date Tested: 06/03/2020
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:
Method 1 - Combined Fracture Determination
Aggregate Size and Fracture Type Coarse 1 and 2 Faced
Percentage of fractured, coarse, 2 faced particles tested 100 %
Percentage of fractured, coarse, 1 faced particles tested 100 %