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Sample Record for 2020-05-18-26

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: 2020-05-18-26
TL Number from the TL Form:
Sample Submitted By Organization: Jaxon Enterprises - Deer Creek Rock & Asphalt
Sample Organization Contact: (559) 793-0903
Type of Sample: Quality Control
Type of Material: Aggregate
Sample Taken Date: 05/18/2020
Date that the sample was received by the laboratory/organization performing the testing: 05/20/2020
The quantity of what the sample constitutes: combined aggregates
A brief description of the sample: combined aggregates
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Deer Creek Rock and Asphalt

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-54-0021::DEER CREEK ASPHALT
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: Deer Creek Rock and Asphalt
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 1/2 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:

Test Results

Test 1 of 8

DIME Test ID: 2020-05-18-26-1
Test Method: AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)
Verified Date: 11/05/2020
Date Tested: 05/20/2020
Submitted By Organization: Jaxon Enterprises - Deer Creek Rock & Asphalt
Organization Address: 27671 Avenue 120,
Organization City: Porterville
Organization State: CA
Organization Zipcode: 93257
Organization Email: jordanb@jaxonaggregates.com
Organization Phone: (530) 227-0982
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Method 2 - Individual Fracture Determination
Aggregate Size and Fracture Type Coarse 1 and 2 Faced and Fine 1 Faced
Weighted average percentage of fractured, coarse, 2 faced particles 100 %
Weighted average percentage of fractured, coarse, 1 faced particles 100 %
Percentage of fractured, fine, 1 faced particles tested 100 %

Test 2 of 8

DIME Test ID: 2020-05-18-26-2
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: 11/05/2020
Date Tested: 05/20/2020
Submitted By Organization: Jaxon Enterprises - Deer Creek Rock & Asphalt
Organization Address: 27671 Avenue 120,
Organization City: Porterville
Organization State: CA
Organization Zipcode: 93257
Organization Email: jordanb@jaxonaggregates.com
Organization Phone: (530) 227-0982
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Grading designation A
Percent loss after 100 revolutions 2 %
Percent loss after 500 revolutions 11 %

Test 3 of 8

DIME Test ID: 2020-05-18-26-3
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: 11/05/2020
Date Tested: 05/20/2020
Submitted By Organization: Jaxon Enterprises - Deer Creek Rock & Asphalt
Organization Address: 27671 Avenue 120,
Organization City: Porterville
Organization State: CA
Organization Zipcode: 93257
Organization Email: jordanb@jaxonaggregates.com
Organization Phone: (530) 227-0982
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sand Equivalent 91

Test 4 of 8

DIME Test ID: 2020-05-18-26-4
Test Method: AASHTO T304-11: Standard Method of Test for Uncompacted Void Content of Fine Aggregate (Fine of Crushed Particles)
Verified Date: 11/05/2020
Date Tested: 05/20/2020
Submitted By Organization: Jaxon Enterprises - Deer Creek Rock & Asphalt
Organization Address: 27671 Avenue 120,
Organization City: Porterville
Organization State: CA
Organization Zipcode: 93257
Organization Email: jordanb@jaxonaggregates.com
Organization Phone: (530) 227-0982
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
What test method is performed? Method A
Bulk dry specific gravity 2.962
Average uncompacted voids 47 %

Test 5 of 8

DIME Test ID: 2020-05-18-26-5
Test Method: AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)
Verified Date: 11/05/2020
Date Tested: 05/20/2020
Submitted By Organization: Jaxon Enterprises - Deer Creek Rock & Asphalt
Organization Address: 27671 Avenue 120,
Organization City: Porterville
Organization State: CA
Organization Zipcode: 93257
Organization Email: jordanb@jaxonaggregates.com
Organization Phone: (530) 227-0982
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Basis for relative density testing Bulk
Specific Gravity 2.962
Absorption 0.6 %

Test 6 of 8

DIME Test ID: 2020-05-18-26-6
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: 11/05/2020
Date Tested: 05/20/2020
Submitted By Organization: Jaxon Enterprises - Deer Creek Rock & Asphalt
Organization Address: 27671 Avenue 120,
Organization City: Porterville
Organization State: CA
Organization Zipcode: 93257
Organization Email: jordanb@jaxonaggregates.com
Organization Phone: (530) 227-0982
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Method B
Determination By Mass
Dimensional ratio used 5:1
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 8

DIME Test ID: 2020-05-18-26-7
Test Method: CTM 204-June 2010: Method of Test for Liquid Limit, Plastic Limit and Plasticity Index of Soils (Plasticity Index)
Verified Date: 11/05/2020
Date Tested: 05/20/2020
Submitted By Organization: Jaxon Enterprises - Deer Creek Rock & Asphalt
Organization Address: 27671 Avenue 120,
Organization City: Porterville
Organization State: CA
Organization Zipcode: 93257
Organization Email: jordanb@jaxonaggregates.com
Organization Phone: (530) 227-0982
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Plastic Index(PI) NP
Liquid Limit (LL) 0 %
Plastic Limit (PL) 0 %

Test 8 of 8

DIME Test ID: 2020-05-18-26-8
Test Method: AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity)
Verified Date: 11/05/2020
Date Tested: 05/20/2020
Submitted By Organization: Jaxon Enterprises - Deer Creek Rock & Asphalt
Organization Address: 27671 Avenue 120,
Organization City: Porterville
Organization State: CA
Organization Zipcode: 93257
Organization Email: jordanb@jaxonaggregates.com
Organization Phone: (530) 227-0982
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Bulk specific gravity 2.931
Bulk specific gravity (SSD Basis) 2.954
Apparent specific gravity 3.001
Absorption 0.8 %