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Sample Record for 2021-04-13-31

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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: 2021-04-13-31
TL Number from the TL Form: 037263
Sample Submitted By Organization: CT D02 - Redding Northern Regional Laboratory
Sample Organization Contact: (530) 225-3194
Type of Sample: Verification
Type of Material: Aggregate
Sample Taken Date: 04/13/2021
Date that the sample was received by the laboratory/organization performing the testing: 04/14/2021
The quantity of what the sample constitutes: JMF Verification
A brief description of the sample: 3/4-inch Type A Untreated Virgin Aggregate
From where was the sample collected: Source
Laboratory sample identification: D78777F
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Shaw Pit - Lookout, CA

Material Information

Source Identification (SMARA, name of Pit or Job Site): 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: Stockpiles
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number: JMF21-03-S01
Lot number:
Sublot number:
Aggregate Mix Number:

Test Results

Test 1 of 10

DIME Test ID: 2021-04-13-31-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 06/10/2021
Date Tested: 06/01/2021
Submitted By Organization: CT D02 - Redding Northern Regional Laboratory
Organization Address: 1657 Riverside Drive,
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:
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 99.3 %
Cumulative percent passing the 1/2 in. sieve 76.8 %
Cumulative percent passing the 3/8 in. sieve 62.6 %
Cumulative percent passing the 1/4 in. sieve 49.1 %
Cumulative percent passing the #4 sieve 39.8 %
Cumulative percent passing the #8 sieve 22.5 %
Cumulative percent passing the #16 sieve 13.4 %
Cumulative percent passing the #30 sieve 8.3 %
Cumulative percent passing the #50 sieve 5.3 %
Cumulative percent passing the #100 sieve 3.7 %
Cumulative percent passing the #200 sieve 2.95 %

Test 2 of 10

DIME Test ID: 2021-04-13-31-2
Test Method: CTM 204-June 2010: Method of Test for Liquid Limit, Plastic Limit and Plasticity Index of Soils (Plasticity Index)
Verified Date: 06/10/2021
Date Tested: 06/03/2021
Submitted By Organization: CT D02 - Redding Northern Regional Laboratory
Organization Address: 1657 Riverside Drive,
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:
Plastic Index(PI) NP
Liquid Limit (LL) 0 %
Plastic Limit (PL) 0 %

Test 3 of 10

DIME Test ID: 2021-04-13-31-3
Test Method: AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)
Verified Date: 06/10/2021
Date Tested: 06/07/2021
Submitted By Organization: CT D02 - Redding Northern Regional Laboratory
Organization Address: 1657 Riverside Drive,
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:
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 0 %
Percentage of questionable, coarse, 1 faced particles tested 0 %
Percentage of questionable, fine, 1 faced particles tested 0 %
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 4 of 10

DIME Test ID: 2021-04-13-31-4
Test Method: AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)
Verified Date: 06/10/2021
Date Tested: 06/04/2021
Submitted By Organization: CT D02 - Redding Northern Regional Laboratory
Organization Address: 1657 Riverside Drive,
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:
Additional Comments When Verified:
Basis for relative density testing Bulk
Specific Gravity 2.611
Absorption 2.3 %

Test 5 of 10

DIME Test ID: 2021-04-13-31-5
Test Method: AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity)
Verified Date: 06/10/2021
Date Tested: 06/04/2021
Submitted By Organization: CT D02 - Redding Northern Regional Laboratory
Organization Address: 1657 Riverside Drive,
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:
Additional Comments When Verified:
Bulk specific gravity 2.556
Bulk specific gravity (SSD Basis) 2.637
Apparent specific gravity 2.781
Absorption 3.2 %

Test 6 of 10

DIME Test ID: 2021-04-13-31-6
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: 06/10/2021
Date Tested: 06/04/2021
Submitted By Organization: CT D02 - Redding Northern Regional Laboratory
Organization Address: 1657 Riverside Drive,
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:
Grading designation B
Mass of sample on No.12 sieve (after 500 revolutions) 4108 grams
Percent loss after 100 revolutions 4 %
Percent loss after 500 revolutions 17 %

Test 7 of 10

DIME Test ID: 2021-04-13-31-8
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: 06/10/2021
Date Tested: 06/03/2021
Submitted By Organization: CT D02 - Redding Northern Regional Laboratory
Organization Address: 1657 Riverside Drive,
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:
Sand Equivalent 80

Test 8 of 10

DIME Test ID: 2021-04-13-31-9
Test Method: AASHTO T210-15: Standard Method of Test for Aggregate Durability Index (Durability Index)
Verified Date: 06/10/2021
Date Tested: 06/03/2021
Submitted By Organization: CT D02 - Redding Northern Regional Laboratory
Organization Address: 1657 Riverside Drive,
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:
Which test procedure(s) is/are used? Procedure A and Procedure B
Was strict temperature control maintained? Yes
What type of water was used? Distilled
Durability Index (coarse) 68
Durability Index (fine) 59

Test 9 of 10

DIME Test ID: 2021-04-13-31-10
Test Method: AASHTO T304-11: Standard Method of Test for Uncompacted Void Content of Fine Aggregate (Fine of Crushed Particles)
Verified Date: 06/10/2021
Date Tested: 06/04/2021
Submitted By Organization: CT D02 - Redding Northern Regional Laboratory
Organization Address: 1657 Riverside Drive,
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 test method is performed? Method A
Bulk dry specific gravity 2.637
Average uncompacted voids 49 %

Test 10 of 10

DIME Test ID: 2021-04-13-31-11
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: 06/10/2021
Submitted By Organization: CT D02 - Redding Northern Regional Laboratory
Organization Address: 1657 Riverside Drive,
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:
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 %