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Sample Record for 2021-03-15-14

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Project Information

Project ID: 214492 DEA: 033F5404 EFIS: 0313000136 QA Service Level: 1
DIST-CO-RTE-PM: 03-SAC-99,160-4.5/5.7,R44.5
Work Description: FURNISH PRECAST PRESTRESSED CONCRETE SLAB & PLACE STRUCTURAL CONCRETE.
Location Description: SACRAMENTO COUNTY NEAR GALT ON ROUTE 99 FROM NORTH OF MINGO ROAD TO SOUTH OF ARNO ROAD OVERCROSSING AND IN SACRAMENTO ON ROUTE 160 AT AMERICAN RIVER BRIDGE
Contractor Name: BROSAMER & WALL, INC.
Contractor Address: 5000 Marsh Drive, Suite 300, Conord, CA 94520
Resident Engineer: Mohssen Ghassemi Structure Rep.: Chris Quon

Sample Information

DIME Sample ID: 2021-03-15-14
TL Number from the TL Form: C849136
Sample Submitted By Organization: CT D03 - North Region Materials Lab
Sample Organization Contact: (530) 741-4238
Type of Sample: Verification
Type of Material: Aggregate
Sample Taken Date: 03/15/2021
Date that the sample was received by the laboratory/organization performing the testing: 03/15/2021
The quantity of what the sample constitutes: JMF Verification
A brief description of the sample: 3/4" (Nominal sized) untreated Virgin Aggregate
From where was the sample collected: Manufacturer
Laboratory sample identification: JMF21-012
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Teichert Perkins Batch Plant

Material Information

Source Identification (SMARA or name of Pit): 91-34-0045
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: Batch Plant Hot Bins
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 9

DIME Test ID: 2021-03-15-14-1
Test Method: AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)
Verified Date: 04/29/2021
Date Tested: 04/12/2021
Submitted By Organization: CT D03 - North Region Materials Lab
Organization Address: 5330 Arboga Rd,
Organization City: Olivehurst
Organization State: CA
Organization Zipcode: 95961
Organization Email: jeff.herbert@dot.ca.gov
Organization Phone: (530) 741-4238
General Comments for this Test: JMF21-012.
Test Result Compliance: complies
Additional Comments When Verified: JMF21-012
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 93 %
Weighted average percentage of fractured, coarse, 1 faced particles 98 %
Percentage of fractured, fine, 1 faced particles tested 98 %

Test 2 of 9

DIME Test ID: 2021-03-15-14-2
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: 04/29/2021
Date Tested: 04/12/2021
Submitted By Organization: CT D03 - North Region Materials Lab
Organization Address: 5330 Arboga Rd,
Organization City: Olivehurst
Organization State: CA
Organization Zipcode: 95961
Organization Email: jeff.herbert@dot.ca.gov
Organization Phone: (530) 741-4238
General Comments for this Test: JMF21-012.
Test Result Compliance: complies
Additional Comments When Verified: JMF21-012
Grading designation C
Percent loss after 100 revolutions 5 %
Percent loss after 500 revolutions 21 %

Test 3 of 9

DIME Test ID: 2021-03-15-14-3
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: 04/29/2021
Date Tested: 04/13/2021
Submitted By Organization: CT D03 - North Region Materials Lab
Organization Address: 5330 Arboga Rd,
Organization City: Olivehurst
Organization State: CA
Organization Zipcode: 95961
Organization Email: jeff.herbert@dot.ca.gov
Organization Phone: (530) 741-4238
General Comments for this Test: JMF21-012.
Test Result Compliance: complies
Additional Comments When Verified: JMF21-012
Sand Equivalent 83

Test 4 of 9

DIME Test ID: 2021-03-15-14-4
Test Method: AASHTO T304-11: Standard Method of Test for Uncompacted Void Content of Fine Aggregate (Fine of Crushed Particles)
Verified Date: 04/29/2021
Date Tested: 04/14/2021
Submitted By Organization: CT D03 - North Region Materials Lab
Organization Address: 5330 Arboga Rd,
Organization City: Olivehurst
Organization State: CA
Organization Zipcode: 95961
Organization Email: jeff.herbert@dot.ca.gov
Organization Phone: (530) 741-4238
General Comments for this Test: JMF21-012.
Test Result Compliance: complies
Additional Comments When Verified: JMF21-012
What test method is performed? Method A
Bulk dry specific gravity 2.668
Average uncompacted voids 46.9 %

Test 5 of 9

DIME Test ID: 2021-03-15-14-5
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: 04/29/2021
Date Tested: 04/14/2021
Submitted By Organization: CT D03 - North Region Materials Lab
Organization Address: 5330 Arboga Rd,
Organization City: Olivehurst
Organization State: CA
Organization Zipcode: 95961
Organization Email: jeff.herbert@dot.ca.gov
Organization Phone: (530) 741-4238
General Comments for this Test: JMF21-012.
Test Result Compliance: complies
Additional Comments When Verified: JMF21-012
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 6 of 9

DIME Test ID: 2021-03-15-14-6
Test Method: CTM 204-June 2010: Method of Test for Liquid Limit, Plastic Limit and Plasticity Index of Soils (Plasticity Index)
Verified Date: 04/29/2021
Date Tested: 04/14/2021
Submitted By Organization: CT D03 - North Region Materials Lab
Organization Address: 5330 Arboga Rd,
Organization City: Olivehurst
Organization State: CA
Organization Zipcode: 95961
Organization Email: jeff.herbert@dot.ca.gov
Organization Phone: (530) 741-4238
General Comments for this Test: JMF21-012.
Test Result Compliance: complies
Additional Comments When Verified: JMF21-012. Per the D-3 Lab MREA, “no plastic in fine aggregate” – no test performed.
Plastic Index(PI) 0
Liquid Limit (LL) 0 %
Plastic Limit (PL) 0 %

Test 7 of 9

DIME Test ID: 2021-03-15-14-7
Test Method: AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)
Verified Date: 04/29/2021
Date Tested: 04/09/2021
Submitted By Organization: CT D03 - North Region Materials Lab
Organization Address: 5330 Arboga Rd,
Organization City: Olivehurst
Organization State: CA
Organization Zipcode: 95961
Organization Email: jeff.herbert@dot.ca.gov
Organization Phone: (530) 741-4238
General Comments for this Test: JMF21-012.
Test Result Compliance: not applicable
Additional Comments When Verified: JMF21-012. Report only.
Basis for relative density testing Bulk
Specific Gravity 2.738
Absorption 0.9 %

Test 8 of 9

DIME Test ID: 2021-03-15-14-8
Test Method: AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity)
Verified Date: 04/29/2021
Date Tested: 04/14/2021
Submitted By Organization: CT D03 - North Region Materials Lab
Organization Address: 5330 Arboga Rd,
Organization City: Olivehurst
Organization State: CA
Organization Zipcode: 95961
Organization Email: jeff.herbert@dot.ca.gov
Organization Phone: (530) 741-4238
General Comments for this Test: JMF21-012.
Test Result Compliance: not applicable
Additional Comments When Verified: JMF21-012. Report only.
Bulk specific gravity 2.668
Bulk specific gravity (SSD Basis) 2.709
Apparent specific gravity 2.780
Absorption 1.5 %

Test 9 of 9

DIME Test ID: 2021-03-15-14-9
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 04/29/2021
Date Tested: 04/06/2021
Submitted By Organization: CT D03 - North Region Materials Lab
Organization Address: 5330 Arboga Rd,
Organization City: Olivehurst
Organization State: CA
Organization Zipcode: 95961
Organization Email: jeff.herbert@dot.ca.gov
Organization Phone: (530) 741-4238
General Comments for this Test: JMF21-012.
Test Result Compliance: complies
Additional Comments When Verified: JMF21-012
What type of gradation is being tested? HMA Gradation
Does this test use 1/4 sieve? (question for HMA Gradation Type) No
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 98 %
Cumulative percent passing the 1/2 in. sieve 77 %
Cumulative percent passing the 3/8 in. sieve 70 %
Cumulative percent passing the #4 sieve 45 %
Cumulative percent passing the #8 sieve 33 %
Cumulative percent passing the #16 sieve 23 %
Cumulative percent passing the #30 sieve 15 %
Cumulative percent passing the #50 sieve 9 %
Cumulative percent passing the #100 sieve 5 %
Cumulative percent passing the #200 sieve 2.1 %

Tests Assigned to this Sample

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