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Sample Record for 2021-04-01-21

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: 2021-04-01-21
TL Number from the TL Form: na
Sample Submitted By Organization: CT HQ - Hot Mix Asphalt Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Verification
Type of Material: Aggregate
Sample Taken Date: 04/01/2021
Date that the sample was received by the laboratory/organization performing the testing: 04/01/2021
The quantity of what the sample constitutes: 2 bags
A brief description of the sample: Bin1 Rock Dust, Bin 2 3/8", Bin 3 1/2", and Bin 4 3/4"
From where was the sample collected: Manufacturer
Laboratory sample identification: 21-JMF-0082
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: George Reed Inc

Material Information

Source Identification (SMARA or name of Pit): 91-03-0020
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:

Test Results

Test 1 of 3

DIME Test ID: 2021-04-01-21-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 05/05/2021
Date Tested: 05/03/2021
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:
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) No
Total mass of material in the sample 3651.6 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 0 grams
Cumulative mass retained on the 1/2 in. sieve 236.6 grams
Cumulative mass retained on the 3/8 in. sieve 822.6 grams
Cumulative mass retained on the #4 sieve 2672.9 grams
Total sample mass passing the #4 sieve 977.7 grams
Total mass of fine material in the sample 730.5 grams
Cumulative mass retained on the #8 sieve 454.2 grams
Cumulative mass retained on the #16 sieve 539.3 grams
Cumulative mass retained on the #30 sieve 594.9 grams
Cumulative mass retained on the #50 sieve 640.5 grams
Cumulative mass retained on the #100 sieve 664.8 grams
Cumulative mass retained on the #200 sieve 677 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 100 %
Cumulative percent passing the 1/2 in. sieve 93.5 %
Cumulative percent passing the 3/8 in. sieve 77.5 %
Cumulative percent passing the #4 sieve 26.8 %
Cumulative percent passing the #8 sieve 10.1 %
Cumulative percent passing the #16 sieve 7 %
Cumulative percent passing the #30 sieve 5 %
Cumulative percent passing the #50 sieve 3.3 %
Cumulative percent passing the #100 sieve 2.4 %
Cumulative percent passing the #200 sieve 1.96 %

Test 2 of 3

DIME Test ID: 2021-04-01-21-2
Test Method: AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity)
Verified Date: 05/05/2021
Date Tested: 05/05/2021
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: 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
Additional Comments When Verified:
Bulk specific gravity 2.626
Bulk specific gravity (SSD Basis) 2.696
Apparent specific gravity 2.824
Absorption 2.7 %

Test 3 of 3

DIME Test ID: 2021-04-01-21-3
Test Method: AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)
Verified Date: 05/05/2021
Date Tested: 05/05/2021
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: Bulk specific gravity (oven dry) of coarse aggregate and Absorption of coarse aggregate
Additional Comments When Verified:
Basis for relative density testing Bulk
Specific Gravity 2.832
Absorption 0.5 %

Tests Assigned to this Sample

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