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Sample Record for 2021-04-27-28

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Project Information

Project ID: 214511 DEA: 010E0004 EFIS: 0113000091 QA Service Level: 1
DIST-CO-RTE-PM: 01-HUM-101-84.4/84.8
Work Description: BRIDGE RAIL REPLACEMENT.
Location Description: HUMBOLDT COUNTY NEAR ARCATA FROM JACOBY CREEK BRIDGE TO GANNON SLOUGH BRIDGE
Contractor Name: Golden State Bridge
Contractor Address: 3701 Mallard Drive, Benicia, CA 94510
Resident Engineer: Nathaniel Steen Structure Rep.: Jarred Burrows

Sample Information

DIME Sample ID: 2021-04-27-28
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: Dispute Resolution
Type of Material: Aggregate
Sample Taken Date: 04/27/2021
Date that the sample was received by the laboratory/organization performing the testing: 05/25/2021
The quantity of what the sample constitutes: _
A brief description of the sample: 1/2" HMA NO RAP
From where was the sample collected: Manufacturer
Laboratory sample identification: 21-JMF-0102
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Mercer Fraser - Fortuna

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-12-0002
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: Plant
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 on following page(s): 8

Test Results

Test 1 of 8

DIME Test ID: 2021-04-27-28-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 06/07/2021
Date Tested: 05/28/2021
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 0 %
Cumulative percent passing the 1 in. sieve 0 %
Cumulative percent passing the 3/4 in. sieve 0 %
Cumulative percent passing the 1/2 in. sieve 96.4 %
Cumulative percent passing the 3/8 in. sieve 81.3 %
Cumulative percent passing the #4 sieve 58.5 %
Cumulative percent passing the #8 sieve 40.5 %
Cumulative percent passing the #16 sieve 30.5 %
Cumulative percent passing the #30 sieve 22.6 %
Cumulative percent passing the #50 sieve 15.4 %
Cumulative percent passing the #100 sieve 8.6 %
Cumulative percent passing the #200 sieve 4.51 %

Test 2 of 8

DIME Test ID: 2021-04-27-28-2
Test Method: AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)
Verified Date: 06/07/2021
Date Tested: 06/04/2021
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. - Crushed particles, coarse aggregate two fractured faces. - Crushed particles, fine aggregate (Passing No. 4 sieve and retained on No. 8 sieve) one fractured face.
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 1 %
Percentage of questionable, coarse, 1 faced particles tested 1 %
Percentage of questionable, fine, 1 faced particles tested 1 %
Percentage of fractured, coarse, 2 faced particles tested 99 %
Percentage of fractured, coarse, 1 faced particles tested 99 %
Percentage of fractured, fine, 1 faced particles tested 99 %

Test 3 of 8

DIME Test ID: 2021-04-27-28-3
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: 06/07/2021
Date Tested: 06/02/2021
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: At 100 rev and 500 rev
Test Result Compliance:
Additional Comments When Verified:
Grading designation C
Mass of sample on No.12 sieve (after 500 revolutions) 3777 grams
Percent loss after 100 revolutions 6 %
Percent loss after 500 revolutions 24 %

Test 4 of 8

DIME Test ID: 2021-04-27-28-4
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: 06/07/2021
Date Tested: 06/04/2021
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 61

Test 5 of 8

DIME Test ID: 2021-04-27-28-5
Test Method: AASHTO T304-11: Standard Method of Test for Uncompacted Void Content of Fine Aggregate (Fine of Crushed Particles)
Verified Date: 06/07/2021
Date Tested: 06/04/2021
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: Method A
Test Result Compliance:
Additional Comments When Verified:
What test method is performed? Method A
Bulk dry specific gravity 2.568
Average uncompacted voids 44.3 %

Test 6 of 8

DIME Test ID: 2021-04-27-28-6
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: 06/10/2021
Date Tested: 06/09/2021
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: % 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 1 %
Weighted percentage of particles (by mass) that were not flat and elongated 99 %

Test 7 of 8

DIME Test ID: 2021-04-27-28-7
Test Method: AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)
Verified Date: 06/07/2021
Date Tested: 06/02/2021
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 - Absorption o coarse aggregate
Test Result Compliance:
Additional Comments When Verified:
Basis for relative density testing Bulk
Specific Gravity 2.614
Absorption 1.5 %

Test 8 of 8

DIME Test ID: 2021-04-27-28-8
Test Method: AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity)
Verified Date: 06/07/2021
Date Tested: 06/02/2021
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 - Bulk 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 2.568
Bulk specific gravity (SSD Basis) 2.617
Apparent specific gravity 2.700
Absorption 1.9 %