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Sample Record for 2021-06-30-51

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:
DIST-CO-RTE-PM: 59---
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: 2021-06-30-51
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Aggregate Testing Laboratory
Sample Organization Contact: (916) 227-7204
Type of Sample: Informational
Type of Material: Aggregate
Sample Taken Date: 06/30/2021
Date that the sample was received by the laboratory/organization performing the testing: 10/25/2021
The quantity of what the sample constitutes: 6 bags
A brief description of the sample: 3/4" (Drum Plant)
From where was the sample collected: Manufacturer
Laboratory sample identification: 21-JMF-0189
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Granite Construction Vernalis

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-39-0002::VERNALIS
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 Cut
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 on following page(s): 5

Test Results

Test 1 of 5

DIME Test ID: 2021-06-30-51-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 10/29/2021
Date Tested: 10/26/2021
Submitted By Organization: CT HQ - Sacramento Aggregate Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: bang.d.nguyen@dot.ca.gov
Organization Phone: (916) 227-7204
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
What type of gradation is being tested? HMA Gradation
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 0 %
Cumulative percent passing the 1/2 in. sieve 0 %
Cumulative percent passing the 3/8 in. sieve 0 %
Cumulative percent passing the #4 sieve 88.2 %
Cumulative percent passing the #8 sieve 58 %
Cumulative percent passing the #16 sieve 41.4 %
Cumulative percent passing the #30 sieve 32.6 %
Cumulative percent passing the #50 sieve 25.2 %
Cumulative percent passing the #100 sieve 18.9 %
Cumulative percent passing the #200 sieve 13.81 %

Test 2 of 5

DIME Test ID: 2021-06-30-51-2
Test Method: AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)
Verified Date: 10/29/2021
Date Tested: 10/28/2021
Submitted By Organization: CT HQ - Sacramento Aggregate Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: bang.d.nguyen@dot.ca.gov
Organization Phone: (916) 227-7204
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Method 1 - Combined Fracture Determination
Aggregate Size and Fracture Type Fine 1 Faced
Percentage of questionable, fine, 1 faced particles tested 1 %
Percentage of fractured, fine, 1 faced particles tested 100 %

Test 3 of 5

DIME Test ID: 2021-06-30-51-3
Test Method: AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity)
Verified Date: 10/29/2021
Date Tested: 10/29/2021
Submitted By Organization: CT HQ - Sacramento Aggregate Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: bang.d.nguyen@dot.ca.gov
Organization Phone: (916) 227-7204
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Bulk specific gravity 2.490
Bulk specific gravity (SSD Basis) 2.569
Apparent specific gravity 2.705
Absorption 3.2 %

Test 4 of 5

DIME Test ID: 2021-06-30-51-4
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: 10/29/2021
Date Tested: 10/28/2021
Submitted By Organization: CT HQ - Sacramento Aggregate Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: bang.d.nguyen@dot.ca.gov
Organization Phone: (916) 227-7204
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sand Equivalent 30

Test 5 of 5

DIME Test ID: 2021-06-30-51-5
Test Method: AASHTO T304-11: Standard Method of Test for Uncompacted Void Content of Fine Aggregate (Fine of Crushed Particles)
Verified Date: 10/29/2021
Date Tested: 10/28/2021
Submitted By Organization: CT HQ - Sacramento Aggregate Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: bang.d.nguyen@dot.ca.gov
Organization Phone: (916) 227-7204
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
What test method is performed? Method A
Bulk dry specific gravity 2.489
Average uncompacted voids 44.6 %