Sample Record for 2021-06-21-17
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 215251 DEA: 021J4604 EFIS: 0220000081
QA Service Level: 1
DIST-CO-RTE-PM: 02-SIS-96-34.5/38.8,88.0/92.0
Work Description: HMA OVERLAY, REPLACE AC SURFACING, SHOULDER BACKING & TRAFFIC STRIPE.
Location Description: SISKIYOU COUNTY NEAR HAPPY CAMP FROM 0.1 MILE EAST OF OAK FLAT CREEK BRIDGE TO 0.1 MILE EAST OF BENJAMIN CREEK ROAD AND FROM 0.3 MILE WEST OF BEAVER CREEK BRIDGE TO 1.0 MILE WEST OF LUMGREY CREEK BRIDGE
Contractor Name: TULLIS, INC.
Contractor Address: 16951 CLEAR CREEK ROAD, REDDING CA 96001
Resident Engineer: Austin Henry Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2021-06-21-17
TL Number from the TL Form: 853076
Sample Submitted By Organization: CT D02 - Redding Northern Regional Laboratory
Sample Organization Contact: (530) 225-3194
Type of Sample: Acceptance
Type of Material: Aggregate
Sample Taken Date: 06/21/2021
Date that the sample was received by the laboratory/organization performing the testing: 06/21/2021
The quantity of what the sample constitutes: Production Start-Up Evaluation
A brief description of the sample: 3 bags of Combined Lime Treated Virgin 3/8-inch Aggregate from Cold Feed for use in 3/8-inch Type A HMA
From where was the sample collected: Manufacturer
Laboratory sample identification: D78848A
Structure unique identifier:
Structure name: Not Applicable
The fabricator/manufacturer/facility name: Tullis Inc - Northstate Asphalt - Redding, CA
Material Information
Source Identification (SMARA, name of Pit or Job Site): 91-45-0057::Shasta Ranch Aggregates
The fabricator's/manufacturer's product name for the sample: Unknown
The fabricator/manufacturer designation for the sample: Unknown
The plant number: Unknown
A detailed description of where the material sample was collected: Sampling Belt
Where the material sample would have been placed if not sampled: 02 SIS 96
Primary Aggregate Nominal Size: 3/8 inch
The concrete mix design number: Not Applicable
Lot number: Unknown
Sublot number: Unknown
Aggregate Mix Number:
Test Results
Test 1 of 1
DIME Test ID: 2021-06-21-17-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 01/20/2022
Date Tested: 06/22/2021
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:
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What type of gradation is being tested?
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HMA Gradation
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Cumulative percent passing the 1 1/2 in. sieve
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100 %
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Cumulative percent passing the 1 in. sieve
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100 %
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Cumulative percent passing the 3/4 in. sieve
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100 %
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Cumulative percent passing the 1/2 in. sieve
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100 %
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Cumulative percent passing the 3/8 in. sieve
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99.5 %
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Cumulative percent passing the 1/4 in. sieve
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74.8 %
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Cumulative percent passing the #4 sieve
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53.3 %
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Cumulative percent passing the #8 sieve
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29 %
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Cumulative percent passing the #16 sieve
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19.2 %
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Cumulative percent passing the #30 sieve
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13.2 %
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Cumulative percent passing the #50 sieve
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9.2 %
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Cumulative percent passing the #100 sieve
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6.8 %
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Cumulative percent passing the #200 sieve
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5.25 %
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