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Sample Record for 2021-04-28-38

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Project Information

Project ID: 212914 DEA: 031E0604 EFIS: 0312000068 QA Service Level: 1
DIST-CO-RTE-PM: 03-YUB-70-15.5/16.5
Work Description: SIMMERLY SLOUGH BRIDGE REPLACEMENT BR 16-0019 WITH BR 16-0055.
Location Description: NEAR MARYSVILLE, FROM 0.1 MILE NORTH OF BINNEY JUNCTION UNDERPASS TO 0.3 MILE NORTH OF LAURELLEN ROAD, AT SIMMERLY SLOUGH BRIDGE BR 16-0019.
Contractor Name: MCM Construction
Contractor Address: PO Box 620, North Highlands, Ca 95660
Resident Engineer: Manoharan Selvendran Structure Rep.: Travis Christie

Sample Information

DIME Sample ID: 2021-04-28-38
TL Number from the TL Form:
Sample Submitted By Organization: CT D03 - North Region Materials Lab
Sample Organization Contact: (530) 741-4238
Type of Sample: Verification
Type of Material: Aggregate
Sample Taken Date: 04/28/2021
Date that the sample was received by the laboratory/organization performing the testing: 05/10/2021
The quantity of what the sample constitutes: 2 bags
A brief description of the sample: 3/4" untreated Virgin Aggregate
From where was the sample collected: Supplier
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Teichert-Hallwood Drum Plant

Material Information

Source Identification (SMARA or name of Pit): 91-58-0006
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: Belt Feed
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number:
Lot number:
Sublot number:

Test Results

Test 1 of 9

DIME Test ID: 2021-04-28-38-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 08/20/2021
Date Tested: 05/11/2021
Submitted By Organization: CT D03 - North Region Materials Lab
Organization Address: 5330 Arboga Rd,
Organization City: Olivehurst
Organization State: CA
Organization Zipcode: 95961
Organization Email: jeff.herbert@dot.ca.gov
Organization Phone: (530) 741-4238
General Comments for this Test: JMF 21-024
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) No
Total mass of material in the sample 9882.7 grams
Cumulative mass retained on the 1 1/2 in. sieve 0 grams
Cumulative mass retained on the 1 in. sieve 0 grams
Cumulative mass retained on the 3/4 in. sieve 0 grams
Cumulative mass retained on the 1/2 in. sieve 1249.3 grams
Cumulative mass retained on the 3/8 in. sieve 3139.8 grams
Cumulative mass retained on the #4 sieve 6587.1 grams
Total sample mass passing the #4 sieve 0 grams
Total mass of fine material in the sample 500.2 grams
Cumulative mass retained on the #8 sieve 157.4 grams
Cumulative mass retained on the #16 sieve 266.8 grams
Cumulative mass retained on the #30 sieve 339.7 grams
Cumulative mass retained on the #50 sieve 392.6 grams
Cumulative mass retained on the #100 sieve 424 grams
Cumulative mass retained on the #200 sieve 445.4 grams
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 100 %
Cumulative percent passing the 1/2 in. sieve 87.4 %
Cumulative percent passing the 3/8 in. sieve 68.2 %
Cumulative percent passing the #4 sieve 33.3 %
Cumulative percent passing the #8 sieve 22.8 %
Cumulative percent passing the #16 sieve 15.5 %
Cumulative percent passing the #30 sieve 10.7 %
Cumulative percent passing the #50 sieve 7.2 %
Cumulative percent passing the #100 sieve 5.1 %
Cumulative percent passing the #200 sieve 3.65 %

Test 2 of 9

DIME Test ID: 2021-04-28-38-2
Test Method: AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)
Verified Date: 08/20/2021
Date Tested: 05/12/2021
Submitted By Organization: CT D03 - North Region Materials Lab
Organization Address: 5330 Arboga Rd,
Organization City: Olivehurst
Organization State: CA
Organization Zipcode: 95961
Organization Email: jeff.herbert@dot.ca.gov
Organization Phone: (530) 741-4238
General Comments for this Test: JMF 21-024
Test Result Compliance:
Additional Comments When Verified:
Basis for relative density testing Bulk
Specific Gravity 2.775
Absorption 0.8 %

Test 3 of 9

DIME Test ID: 2021-04-28-38-3
Test Method: AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity)
Verified Date: 08/20/2021
Date Tested: 05/12/2021
Submitted By Organization: CT D03 - North Region Materials Lab
Organization Address: 5330 Arboga Rd,
Organization City: Olivehurst
Organization State: CA
Organization Zipcode: 95961
Organization Email: jeff.herbert@dot.ca.gov
Organization Phone: (530) 741-4238
General Comments for this Test: JMF 21-024
Test Result Compliance:
Additional Comments When Verified:
Bulk specific gravity 2.668
Bulk specific gravity (SSD Basis) 2.725
Apparent specific gravity 2.829
Absorption 2.1 %

Test 4 of 9

DIME Test ID: 2021-04-28-38-4
Test Method: AASHTO T304-11: Standard Method of Test for Uncompacted Void Content of Fine Aggregate (Fine of Crushed Particles)
Verified Date: 08/20/2021
Date Tested: 08/20/2021
Submitted By Organization: CT D03 - North Region Materials Lab
Organization Address: 5330 Arboga Rd,
Organization City: Olivehurst
Organization State: CA
Organization Zipcode: 95961
Organization Email: jeff.herbert@dot.ca.gov
Organization Phone: (530) 741-4238
General Comments for this Test: JMF 21-024
Test Result Compliance:
Additional Comments When Verified:
What test method is performed? Method A
Bulk dry specific gravity 2.668
Average uncompacted voids 47.5 %

Test 5 of 9

DIME Test ID: 2021-04-28-38-5
Test Method: CTM 204-June 2010: Method of Test for Liquid Limit, Plastic Limit and Plasticity Index of Soils (Plasticity Index)
Verified Date: 08/20/2021
Date Tested: 05/10/2021
Submitted By Organization: CT D03 - North Region Materials Lab
Organization Address: 5330 Arboga Rd,
Organization City: Olivehurst
Organization State: CA
Organization Zipcode: 95961
Organization Email: jeff.herbert@dot.ca.gov
Organization Phone: (530) 741-4238
General Comments for this Test: JMF 21-024
Test Result Compliance:
Additional Comments When Verified:
Plastic Index(PI) 0
Liquid Limit (LL) 0 %
Plastic Limit (PL) 0 %

Test 6 of 9

DIME Test ID: 2021-04-28-38-6
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: 08/20/2021
Date Tested: 05/11/2021
Submitted By Organization: CT D03 - North Region Materials Lab
Organization Address: 5330 Arboga Rd,
Organization City: Olivehurst
Organization State: CA
Organization Zipcode: 95961
Organization Email: jeff.herbert@dot.ca.gov
Organization Phone: (530) 741-4238
General Comments for this Test: JMF 21-024
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 0 %
Weighted percentage of particles (by mass) that were not flat and elongated 100 %

Test 7 of 9

DIME Test ID: 2021-04-28-38-7
Test Method: AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)
Verified Date: 08/20/2021
Date Tested: 05/11/2021
Submitted By Organization: CT D03 - North Region Materials Lab
Organization Address: 5330 Arboga Rd,
Organization City: Olivehurst
Organization State: CA
Organization Zipcode: 95961
Organization Email: jeff.herbert@dot.ca.gov
Organization Phone: (530) 741-4238
General Comments for this Test: JMF 21-024
Test Result Compliance:
Additional Comments When Verified:
Method 2 - Individual Fracture Determination
Aggregate Size and Fracture Type Coarse 1 and 2 Faced and Fine 1 Faced
Weighted average percentage of fractured, coarse, 2 faced particles 95 %
Weighted average percentage of fractured, coarse, 1 faced particles 99 %
Percentage of fractured, fine, 1 faced particles tested 100 %

Test 8 of 9

DIME Test ID: 2021-04-28-38-8
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: 08/20/2021
Date Tested: 05/13/2021
Submitted By Organization: CT D03 - North Region Materials Lab
Organization Address: 5330 Arboga Rd,
Organization City: Olivehurst
Organization State: CA
Organization Zipcode: 95961
Organization Email: jeff.herbert@dot.ca.gov
Organization Phone: (530) 741-4238
General Comments for this Test: JMF 21-024
Test Result Compliance:
Additional Comments When Verified:
Grading designation B
Percent loss after 100 revolutions 5 %
Percent loss after 500 revolutions 19 %

Test 9 of 9

DIME Test ID: 2021-04-28-38-9
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: 08/20/2021
Date Tested: 05/12/2021
Submitted By Organization: CT D03 - North Region Materials Lab
Organization Address: 5330 Arboga Rd,
Organization City: Olivehurst
Organization State: CA
Organization Zipcode: 95961
Organization Email: jeff.herbert@dot.ca.gov
Organization Phone: (530) 741-4238
General Comments for this Test: JMF 21-024
Test Result Compliance:
Additional Comments When Verified:
Sand Equivalent 82

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.