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Sample Record for 2021-11-02-3

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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: 2021-11-02-3
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Hot Mix Asphalt Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Verification
Type of Material: Aggregate
Sample Taken Date: 11/02/2021
Date that the sample was received by the laboratory/organization performing the testing: 11/09/2021
The quantity of what the sample constitutes: 4 Aggregate Bags
A brief description of the sample: 3/4" HMA Type A PG 70-10
From where was the sample collected: Supplier
Laboratory sample identification: 21-JMF-0201
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Deer Creek Porterville

Material Information

Source Identification (SMARA or name of Pit): 91-54-0021::DEER CREEK ASPHALT
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: At The Plant
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: 2021-11-02-3-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 11/19/2021
Date Tested: 11/16/2021
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
Does this test use 1/4 sieve? (question for HMA Gradation Type) No
Total mass of material in the sample 6254 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 115.4 grams
Cumulative mass retained on the 1/2 in. sieve 1346.9 grams
Cumulative mass retained on the 3/8 in. sieve 1998.9 grams
Cumulative mass retained on the #4 sieve 2960.2 grams
Total sample mass passing the #4 sieve 3292.1 grams
Total mass of fine material in the sample 609.8 grams
Cumulative mass retained on the #8 sieve 190 grams
Cumulative mass retained on the #16 sieve 376.4 grams
Cumulative mass retained on the #30 sieve 466.9 grams
Cumulative mass retained on the #50 sieve 519.4 grams
Cumulative mass retained on the #100 sieve 546.4 grams
Cumulative mass retained on the #200 sieve 561.2 grams
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 98.2 %
Cumulative percent passing the 1/2 in. sieve 78.5 %
Cumulative percent passing the 3/8 in. sieve 68 %
Cumulative percent passing the #4 sieve 52.7 %
Cumulative percent passing the #8 sieve 36.3 %
Cumulative percent passing the #16 sieve 20.2 %
Cumulative percent passing the #30 sieve 12.3 %
Cumulative percent passing the #50 sieve 7.8 %
Cumulative percent passing the #100 sieve 5.5 %
Cumulative percent passing the #200 sieve 4.2 %

Test 2 of 9

DIME Test ID: 2021-11-02-3-2
Test Method: AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity)
Verified Date: 11/19/2021
Date Tested: 11/17/2021
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: - Bulk specific gravity (SSD) of fine aggregate - Bulk specific gravity of fine aggregate - Bulk specific gravity of fine aggregate - Apparent specific gravity of supplemental fines - Absorption of fine aggregate.
Test Result Compliance:
Additional Comments When Verified:
Bulk specific gravity 2.850
Bulk specific gravity (SSD Basis) 2.898
Apparent specific gravity 2.994
Absorption 1.7 %

Test 3 of 9

DIME Test ID: 2021-11-02-3-3
Test Method: AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)
Verified Date: 11/19/2021
Date Tested: 11/17/2021
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: Bulk Specific Gravity (Oven Dry) of Coarse Aggregate-Absorption of Coarse Aggregate.
Test Result Compliance:
Additional Comments When Verified:
Basis for relative density testing Bulk
Specific Gravity 2.939
Absorption 0.7 %

Test 4 of 9

DIME Test ID: 2021-11-02-3-4
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: 11/19/2021
Date Tested: 11/17/2021
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: At 100 rev and 500 rev
Test Result Compliance:
Additional Comments When Verified:
Grading designation B
Mass of sample on No.12 sieve (after 500 revolutions) 4431 grams
Percent loss after 100 revolutions 3 %
Percent loss after 500 revolutions 11 %

Test 5 of 9

DIME Test ID: 2021-11-02-3-5
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: 11/19/2021
Date Tested: 11/16/2021
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 89

Test 6 of 9

DIME Test ID: 2021-11-02-3-6
Test Method: AASHTO T304-11: Standard Method of Test for Uncompacted Void Content of Fine Aggregate (Fine of Crushed Particles)
Verified Date: 11/19/2021
Date Tested: 11/17/2021
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 2.851
Average uncompacted voids 46.5 %

Test 7 of 9

DIME Test ID: 2021-11-02-3-7
Test Method: AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)
Verified Date: 11/19/2021
Date Tested: 11/18/2021
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: Crushed particles, coarse aggregate one fractured face Crushed particles, coarse aggregate two fractured faces Crushed particles, fine aggregate (Passing No. 4 sieve and retained on No. 8 sieve) one fractured face
Test Result Compliance:
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 1 %
Percentage of questionable, fine, 1 faced particles tested 0 %
Percentage of fractured, coarse, 2 faced particles tested 99 %
Percentage of fractured, coarse, 1 faced particles tested 100 %
Percentage of fractured, fine, 1 faced particles tested 100 %

Test 8 of 9

DIME Test ID: 2021-11-02-3-8
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: 11/19/2021
Date Tested: 11/18/2021
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: % by mass at 5:1
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 1 %
Weighted percentage of particles (by mass) that were not flat and elongated 99 %

Test 9 of 9

DIME Test ID: 2021-11-02-3-9
Test Method: AASHTO T210-15: Standard Method of Test for Aggregate Durability Index (Durability Index)
Verified Date: 11/19/2021
Date Tested: 11/17/2021
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: Please run Durability Procedure "A" Coarse Aggregate and Procedure "B" Fine Aggregate.
Test Result Compliance:
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? Deminerialized
Durability Index (coarse) 76
Durability Index (fine) 83

Tests Assigned to this Sample

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