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Sample Record for 2021-06-01-19

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:
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: 2021-06-01-19
TL Number from the TL Form:
Sample Submitted By Organization: Jaxon Enterprises - Deer Creek Rock & Asphalt
Sample Organization Contact: (559) 793-0903
Type of Sample: Quality Control
Type of Material: Aggregate
Sample Taken Date: 06/01/2021
Date that the sample was received by the laboratory/organization performing the testing: 06/01/2021
The quantity of what the sample constitutes: 6 bags
A brief description of the sample: Washed Dust Untreated Aggregate
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Deer Creek Rock and Asphalt

Material Information

Source Identification (SMARA or name of Pit): 91-54-0021::DEER CREEK ASPHALT
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: at the plant from the stockpile
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: fine
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:

Test Results

Test 1 of 1

DIME Test ID: 2021-06-01-19-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 06/11/2021
Date Tested: 06/01/2021
Submitted By Organization: Jaxon Enterprises - Deer Creek Rock & Asphalt
Organization Address: 27671 Ave 120,
Organization City: Porterville
Organization State: CA
Organization Zipcode: 93257
Organization Email:
Organization Phone: (530) 227-0982
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
What type of gradation is being tested? Fine Aggregate
Does this test use 1/4 sieve? (question for HMA Gradation Type) No
Has the fine aggregate sample been reduced? No
Cumulative percent passing the 3/8 in. sieve 100 %
Cumulative percent passing the #4 sieve 99 %
Cumulative percent passing the #8 sieve 77 %
Cumulative percent passing the #16 sieve 46 %
Cumulative percent passing the #30 sieve 27 %
Cumulative percent passing the #50 sieve 17 %
Cumulative percent passing the #100 sieve 10 %
Cumulative percent passing the #200 sieve 8 %