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Sample Record for 2021-08-30-30

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Project Information

Project ID: 215393 DEA: 021J5104 EFIS: 0220000086 QA Service Level: 1
DIST-CO-RTE-PM: 02-LAS,MOD-139-57.0/66.635,0.0/0.1
Work Description: PERFORM COLD IN-PLACE RECYCLING AND PLACE HOT MIX ASPHALT (TYPE A).
Location Description: LASSEN AND MODOC COUNTIES NEAR ADIN FROM 4.5 MILES SOUTH OF COUNTY ROAD A2 TO 0.1 MILE SOUTH OF ROUTE 299
Contractor Name: Hat Creek Construction
Contractor Address: 24339 Highway 89 N, Burney, CA 96013
Resident Engineer: Mike Zdenek Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-08-30-30
TL Number from the TL Form: 848954
Sample Submitted By Organization: CT D02 - Redding Northern Regional Laboratory
Sample Organization Contact: (530) 225-3194
Type of Sample: Department Acceptance
Type of Material: Aggregate
Sample Taken Date: 08/30/2021
Date that the sample was received by the laboratory/organization performing the testing: 08/31/2021
The quantity of what the sample constitutes: PSE at 286 Tons
A brief description of the sample: 1/2 inch combined lime treated coldfeed and RAP
From where was the sample collected: Manufacturer
Laboratory sample identification: D78933
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Hat Creek Construction and Materials - Shaw Pit Facility - 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: Plant Sampler
Where the material sample would have been placed if not sampled: 02 LAS MOD 139
Primary Aggregate Nominal Size: 1/2 inch
The concrete mix design number:
Lot number: Unknown
Sublot number: Unknown
Aggregate Mix Number:
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2021-08-30-30-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 09/09/2021
Date Tested: 09/01/2021
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: complies
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 100 %
Cumulative percent passing the 1/2 in. sieve 99 %
Cumulative percent passing the 3/8 in. sieve 87 %
Cumulative percent passing the 1/4 in. sieve 70 %
Cumulative percent passing the #4 sieve 57 %
Cumulative percent passing the #8 sieve 38 %
Cumulative percent passing the #16 sieve 26 %
Cumulative percent passing the #30 sieve 19 %
Cumulative percent passing the #50 sieve 14 %
Cumulative percent passing the #100 sieve 10 %
Cumulative percent passing the #200 sieve 7.7 %