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Sample Record for 2020-10-22-14

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Project Information

Project ID: 212496 DEA: 024E4504 EFIS: 0200020286 QA Service Level: 1
DIST-CO-RTE-PM: 02-LAS,MOD-139,299-VAR
Work Description: PLACE HMA, REPLACE DRAINAGE, CULVERT, ELECTRICAL AND LIGHTING SYSTEMS.
Location Description: LASSEN AND MODOC COUNTIES ON ROUTE 139 AT 0.1 MILE NORTH OF LASSEN COUNTY LINE AND ON ROUTE 299 AT VARIOUS LOCATONS FROM 0.4 MILE WEST OF BOYD HILL LOOKOUT ROAD TO 0.6 MILE EAST OF COUNTY ROAD 87
Contractor Name: PAR ELECTRICAL CONTRACTORS INC
Contractor Address: 1465 WEST FOURTH STREET, RENO, NV 89503
Resident Engineer: Mike Zdenek Structure Rep.: Chris Brace

Sample Information

DIME Sample ID: 2020-10-22-14
TL Number from the TL Form: 853335
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: 10/22/2020
Date that the sample was received by the laboratory/organization performing the testing: 10/22/2020
The quantity of what the sample constitutes: Annual Source Testing
A brief description of the sample: 3/4″ Sized Untreated Virgin Aggregate
From where was the sample collected: Source
Laboratory sample identification: D78684A
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Shaw Pit

Material Information

Source Identification (SMARA or name of Pit): 91-25-0008
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: 3/4 inch
The concrete mix design number:
Lot number:
Sublot number:

Test Results

Test 1 of 2

DIME Test ID: 2020-10-22-14-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 11/13/2020
Date Tested: 10/26/2020
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: complies
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 6807.1 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 282 grams
Cumulative mass retained on the 1/2 in. sieve 4640 grams
Cumulative mass retained on the 3/8 in. sieve 6254 grams
Mass retained on the 1/4 in. sieve 6594 grams
Cumulative mass retained on the #4 sieve 6652 grams
Total sample mass passing the #4 sieve 155.1 grams
Total mass of fine material in the sample 155.1 grams
Cumulative mass retained on the #8 sieve 40.4 grams
Cumulative mass retained on the #16 sieve 50.2 grams
Cumulative mass retained on the #30 sieve 56.1 grams
Cumulative mass retained on the #50 sieve 61.7 grams
Cumulative mass retained on the #100 sieve 68.3 grams
Cumulative mass retained on the #200 sieve 75.7 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 95.9 %
Cumulative percent passing the 1/2 in. sieve 31.8 %
Cumulative percent passing the 3/8 in. sieve 8.1 %
Cumulative percent passing the 1/4 in. sieve 3.1 %
Cumulative percent passing the #4 sieve 2.3 %
Cumulative percent passing the #8 sieve 1.7 %
Cumulative percent passing the #16 sieve 1.6 %
Cumulative percent passing the #30 sieve 1.5 %
Cumulative percent passing the #50 sieve 1.4 %
Cumulative percent passing the #100 sieve 1.3 %
Cumulative percent passing the #200 sieve 1.18 %

Test 2 of 2

DIME Test ID: 2020-10-22-14-2
Test Method: AASHTO T104-99r16: Standard Method of Test for Soundness of Aggregate by Use of Sodium Sulfate or Magnesium Sulfate (Soundness)
Verified Date: 12/07/2020
Date Tested: 12/07/2020
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 5.1 %

Tests Assigned to this Sample

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