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Sample Record for 2021-03-10-4

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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: 2021-03-10-4
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Verification
Type of Material: Aggregate
Sample Taken Date: 03/10/2021
Date that the sample was received by the laboratory/organization performing the testing: 03/18/2021
The quantity of what the sample constitutes: 7 bags
A brief description of the sample: 2 bags bin 1 (1/4), 2 bags bin 2 (3/8), 2 bags (1/2), 1 bag mineral filler
From where was the sample collected: Source
Laboratory sample identification: 21-JMFPP-0044
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Syar Industries Inc

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-48-0002::LAKE HERMAN QUARRY
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: Bins
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: 2021-03-10-4-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 03/29/2021
Date Tested: 03/23/2021
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: ryan.kester@dot.ca.gov
Organization Phone: (916) 227-7215
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 97.7 %
Cumulative percent passing the 3/8 in. sieve 81.5 %
Cumulative percent passing the #4 sieve 51 %
Cumulative percent passing the #8 sieve 31.7 %
Cumulative percent passing the #16 sieve 20.2 %
Cumulative percent passing the #30 sieve 13.5 %
Cumulative percent passing the #50 sieve 9.2 %
Cumulative percent passing the #100 sieve 6.1 %
Cumulative percent passing the #200 sieve 4.39 %

Test 2 of 8

DIME Test ID: 2021-03-10-4-2
Test Method: AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)
Verified Date: 04/02/2021
Date Tested: 03/29/2021
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: ryan.kester@dot.ca.gov
Organization Phone: (916) 227-7215
General Comments for this Test: Crushed particles, coarse aggregate One fractured face and Crushed particles, coarse aggregate Two fractured faces - Method 1 Crushed particles, fine aggregate (Passing No. 4 sieve and retained on No. 8 sieve) One fractured face - Method 2
Test Result Compliance:
Additional Comments When Verified:
Method 1 - Combined Fracture Determination
Aggregate Size and Fracture Type Coarse 1 and 2 Faced and Fine 1 Faced
Percentage of questionable, coarse, 2 faced particles tested no data0 %
Percentage of questionable, coarse, 1 faced particles tested no data0 %
Percentage of questionable, fine, 1 faced particles tested no data0 %
Percentage of fractured, coarse, 2 faced particles tested 100 %
Percentage of fractured, coarse, 1 faced particles tested 100 %
Percentage of fractured, fine, 1 faced particles tested 100 %

Test 3 of 8

DIME Test ID: 2021-03-10-4-3
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: 04/02/2021
Date Tested: 03/30/2021
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: ryan.kester@dot.ca.gov
Organization Phone: (916) 227-7215
General Comments for this Test: Los Angeles Rattler, Loss at 100 and 500 Rev.
Test Result Compliance:
Additional Comments When Verified:
Grading designation C
Mass of sample on No.12 sieve (after 500 revolutions) 4010 grams
Percent loss after 100 revolutions 4 %
Percent loss after 500 revolutions 20 %

Test 4 of 8

DIME Test ID: 2021-03-10-4-4
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: 04/02/2021
Date Tested: 03/24/2021
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: ryan.kester@dot.ca.gov
Organization Phone: (916) 227-7215
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sand Equivalent 58

Test 5 of 8

DIME Test ID: 2021-03-10-4-5
Test Method: AASHTO T304-11: Standard Method of Test for Uncompacted Void Content of Fine Aggregate (Fine of Crushed Particles)
Verified Date: 03/29/2021
Date Tested: 03/26/2021
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: ryan.kester@dot.ca.gov
Organization Phone: (916) 227-7215
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
What test method is performed? Method A
Bulk dry specific gravity 2.467
Average uncompacted voids 44.1 %

Test 6 of 8

DIME Test ID: 2021-03-10-4-6
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: 04/02/2021
Date Tested: 03/29/2021
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: ryan.kester@dot.ca.gov
Organization Phone: (916) 227-7215
General Comments for this Test: Flat and elongated particles (% by mass at 5:1)
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 3 %
Weighted percentage of particles (by mass) that were not flat and elongated 97 %

Test 7 of 8

DIME Test ID: 2021-03-10-4-7
Test Method: AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity)
Verified Date: 03/29/2021
Date Tested: 03/24/2021
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: ryan.kester@dot.ca.gov
Organization Phone: (916) 227-7215
General Comments for this Test: Bulk specific gravity (SSD) of fine aggregate, Bulk specific gravity of fine aggregate, Apparent specific gravity of fine aggregate, Apparent specific gravity of supplemental fines, Absorption of fine aggregate
Test Result Compliance:
Additional Comments When Verified:
Bulk specific gravity 2.467
Bulk specific gravity (SSD Basis) 2.603
Apparent specific gravity 2.854
Absorption 5.5 %

Test 8 of 8

DIME Test ID: 2021-03-10-4-8
Test Method: AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)
Verified Date: 03/29/2021
Date Tested: 03/24/2021
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: ryan.kester@dot.ca.gov
Organization Phone: (916) 227-7215
General Comments for this Test: Bulk specific gravity (oven dry) of coarse aggregate and Absorption of coarse aggregate
Test Result Compliance:
Additional Comments When Verified:
Basis for relative density testing Bulk
Specific Gravity 2.528
Absorption 4.5 %