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Sample Record for 2021-05-24-53

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Project Information

Project ID: 215424 DEA: 024G4404 EFIS: 0214000013 QA Service Level: 1
DIST-CO-RTE-PM: 02-SIS-3-38.0/38.6
Work Description: BRIDGE REPLACEMENT
Location Description: SISKIYOU COUNTY ABOUT 6 MILES NORTH OF FORT JONES FROM 0.3 MILE SOUTH TO 0.3 MILE NORTH OF LOWER MOFFETT CREEK ROAD
Contractor Name: Steelhead Constructors
Contractor Address: 2940 INNSBRUCK DRIVE, REDDING CA 96003
Resident Engineer: Nicole Mallory Structure Rep.: Andy O'Sullivan

Sample Information

DIME Sample ID: 2021-05-24-53
TL Number from the TL Form: 897297
Sample Submitted By Organization: CT D02 - North Region Materials Lab
Sample Organization Contact: (530) 225-3194
Type of Sample: Verification
Type of Material: Aggregate
Sample Taken Date: 05/24/2021
Date that the sample was received by the laboratory/organization performing the testing: 05/24/2021
The quantity of what the sample constitutes: Verification of JMF 21-04-S01
A brief description of the sample: Combined Untreated 3/4-inch Type A Virgin Aggregate
From where was the sample collected: Manufacturer
Laboratory sample identification: D78808F
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Tullis - Nortstate Asphalt, Redding, CA

Material Information

Source Identification (SMARA or name of Pit): 91-45-0057
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: Laboratory Batched from Sized Untreated Virgin Stockpile Samples
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number: JMF 21-04-S01
Lot number:
Sublot number:

Test Results

Test 1 of 10

DIME Test ID: 2021-05-24-53-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 08/03/2021
Date Tested: 05/27/2021
Submitted By Organization: CT D02 - North Region Materials Lab
Organization Address: 1657 Riverside Drive, MS-83,
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
Does this test use 1/4 sieve? (question for HMA Gradation Type) Yes
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 90.3 %
Cumulative percent passing the 3/8 in. sieve 66.6 %
Cumulative percent passing the 1/4 in. sieve 44.9 %
Cumulative percent passing the #4 sieve 37.2 %
Cumulative percent passing the #8 sieve 22.5 %
Cumulative percent passing the #16 sieve 15.1 %
Cumulative percent passing the #30 sieve 10.6 %
Cumulative percent passing the #50 sieve 7.4 %
Cumulative percent passing the #100 sieve 5.5 %
Cumulative percent passing the #200 sieve 4.25 %

Test 2 of 10

DIME Test ID: 2021-05-24-53-2
Test Method: CTM 204-June 2010: Method of Test for Liquid Limit, Plastic Limit and Plasticity Index of Soils (Plasticity Index)
Verified Date: 08/03/2021
Date Tested: 06/01/2021
Submitted By Organization: CT D02 - North Region Materials Lab
Organization Address: 1657 Riverside Drive, MS-83,
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: 2021-05-24-53-3
Test Method: AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)
Verified Date: 08/03/2021
Date Tested: 06/01/2021
Submitted By Organization: CT D02 - North Region Materials Lab
Organization Address: 1657 Riverside Drive, MS-83,
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 2 %
Percentage of questionable, coarse, 1 faced particles tested 2 %
Percentage of questionable, fine, 1 faced particles tested 0 %
Percentage of fractured, coarse, 2 faced particles tested 96 %
Percentage of fractured, coarse, 1 faced particles tested 98 %
Percentage of fractured, fine, 1 faced particles tested 100 %

Test 4 of 10

DIME Test ID: 2021-05-24-53-4
Test Method: AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)
Verified Date: 08/03/2021
Date Tested: 05/28/2021
Submitted By Organization: CT D02 - North Region Materials Lab
Organization Address: 1657 Riverside Drive, MS-83,
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 2.686
Absorption 1 %

Test 5 of 10

DIME Test ID: 2021-05-24-53-5
Test Method: AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity)
Verified Date: 08/03/2021
Date Tested: 06/02/2021
Submitted By Organization: CT D02 - North Region Materials Lab
Organization Address: 1657 Riverside Drive, MS-83,
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 2.649
Bulk specific gravity (SSD Basis) 2.683
Apparent specific gravity 2.741
Absorption 1.3 %

Test 6 of 10

DIME Test ID: 2021-05-24-53-6
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: 08/03/2021
Date Tested: 05/28/2021
Submitted By Organization: CT D02 - North Region Materials Lab
Organization Address: 1657 Riverside Drive, MS-83,
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) 4463 grams
Percent loss after 100 revolutions 2 %
Percent loss after 500 revolutions 11 %

Test 7 of 10

DIME Test ID: 2021-05-24-53-8
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: 08/03/2021
Date Tested: 05/28/2021
Submitted By Organization: CT D02 - North Region Materials Lab
Organization Address: 1657 Riverside Drive, MS-83,
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 62

Test 8 of 10

DIME Test ID: 2021-05-24-53-9
Test Method: AASHTO T210-15: Standard Method of Test for Aggregate Durability Index (Durability Index)
Verified Date: 08/03/2021
Date Tested: 05/28/2021
Submitted By Organization: CT D02 - North Region Materials Lab
Organization Address: 1657 Riverside Drive, MS-83,
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) 87
Durability Index (fine) 81

Test 9 of 10

DIME Test ID: 2021-05-24-53-10
Test Method: AASHTO T304-11: Standard Method of Test for Uncompacted Void Content of Fine Aggregate (Fine of Crushed Particles)
Verified Date: 08/03/2021
Date Tested: 06/01/2021
Submitted By Organization: CT D02 - North Region Materials Lab
Organization Address: 1657 Riverside Drive, MS-83,
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 2.65
Average uncompacted voids 48.8 %

Test 10 of 10

DIME Test ID: 2021-05-24-53-11
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: 08/03/2021
Date Tested: 05/28/2021
Submitted By Organization: CT D02 - North Region Materials Lab
Organization Address: 1657 Riverside Drive, MS-83,
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 4 %
Weighted percentage of particles (by mass) that were not flat and elongated 96 %

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
2021-05-24-53-7AASHTO T104-99r16: Standard Method of Test for Soundness of Aggregate by Use of Sodium Sulfate or Magnesium Sulfate (Soundness)08/03/2021Not scheduledWard JenkinsCT D02 - North Region Materials Lab