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Sample Record for 2020-06-11-55

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Project Information

Project ID: 213887 DEA: 024H2604 EFIS: 0218000100 QA Service Level: 1
DIST-CO-RTE-PM: 02-SIS-97-R11.5/17.1
Work Description: COLD PLANE AC, REPLACE AC SURFACING, PLACE AC, RUMBLE STRIP & STRIPE.
Location Description: SISKIYOU COUNTY ABOUT 12 MILES NORTH OF WEED FROM YELLOW BUTTE ROAD TO 0.6 MILE NORTH OF DEER MOUNTAIN ROAD
Contractor Name: ROCKY MOUNTAIN CONSTRUCTION, LLC.
Contractor Address: 4815 Tingley Lane #A, Klamath Falls, OR 97603
Resident Engineer: Jeff O. Steppat Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-06-11-55
TL Number from the TL Form: 990768
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: 06/11/2020
Date that the sample was received by the laboratory/organization performing the testing: 06/11/2020
The quantity of what the sample constitutes: JMF
A brief description of the sample: 3/8 inch Sized Untreated Virgin Aggregate
From where was the sample collected: Source
Laboratory sample identification: D78473B
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Truax Quarry

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-47-0037
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: 3/8 inch
The concrete mix design number: JMF 19-24-S3
Lot number:
Sublot number:
Aggregate Mix Number:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2020-06-11-55-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 09/15/2020
Date Tested: 06/13/2020
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 99.8 %
Cumulative percent passing the 1/4 in. sieve 83.7 %
Cumulative percent passing the #4 sieve 46.9 %
Cumulative percent passing the #8 sieve 8.2 %
Cumulative percent passing the #16 sieve 3.7 %
Cumulative percent passing the #30 sieve 2.7 %
Cumulative percent passing the #50 sieve 2.3 %
Cumulative percent passing the #100 sieve 2 %
Cumulative percent passing the #200 sieve 1.68 %

Test 2 of 2

DIME Test ID: 2020-06-11-55-2
Test Method: AASHTO T104-99r16: Standard Method of Test for Soundness of Aggregate by Use of Sodium Sulfate or Magnesium Sulfate (Soundness)
Verified Date: 10/07/2020
Date Tested: 10/07/2020
Submitted By Organization: CT HQ - Sacramento Aggregate Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
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? Freshly prepared
Number of immersion cycles performed 5
Coarse weighted average loss 5.9 %