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Sample Record for 2021-11-02-6

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: 2021-11-02-6
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento 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 Bags
A brief description of the sample: 1/2" HMA Type A PG 70-10 with 15% RAP
From where was the sample collected: Supplier
Laboratory sample identification: 21-JMF-0202
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Deer Creek Porterville

Material Information

Source Identification (SMARA, name of Pit or Job Site): 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: 1/2 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:
Test results on following page(s): 9

Test Results

Test 1 of 9

DIME Test ID: 2021-11-02-6-1
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
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 93.4 %
Cumulative percent passing the 3/8 in. sieve 85.1 %
Cumulative percent passing the #4 sieve 56.6 %
Cumulative percent passing the #8 sieve 30.2 %
Cumulative percent passing the #16 sieve 16.7 %
Cumulative percent passing the #30 sieve 10.2 %
Cumulative percent passing the #50 sieve 6.7 %
Cumulative percent passing the #100 sieve 4.8 %
Cumulative percent passing the #200 sieve 3.85 %

Test 2 of 9

DIME Test ID: 2021-11-02-6-2
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: 11/18/2021
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: 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 2.863
Bulk specific gravity (SSD Basis) 2.907
Apparent specific gravity 2.996
Absorption 1.6 %

Test 3 of 9

DIME Test ID: 2021-11-02-6-3
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: 11/16/2021
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: 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 2.944
Absorption 0.7 %

Test 4 of 9

DIME Test ID: 2021-11-02-6-4
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: 11/18/2021
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: At 100 rev and 500 rev.
Test Result Compliance:
Additional Comments When Verified:
Grading designation C
Mass of sample on No.12 sieve (after 500 revolutions) 4376 grams
Percent loss after 100 revolutions 3 %
Percent loss after 500 revolutions 12 %

Test 5 of 9

DIME Test ID: 2021-11-02-6-5
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 95

Test 6 of 9

DIME Test ID: 2021-11-02-6-6
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 2.863
Average uncompacted voids 45.3 %

Test 7 of 9

DIME Test ID: 2021-11-02-6-7
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 0 %
Percentage of questionable, coarse, 1 faced particles tested 0 %
Percentage of questionable, fine, 1 faced particles tested 0 %
Percentage of fractured, coarse, 2 faced particles tested 100 %
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: 2021-11-02-6-8
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 2 %
Weighted percentage of particles (by mass) that were not flat and elongated 98 %

Test 9 of 9

DIME Test ID: 2021-11-02-6-9
Test Method: AASHTO T210-15: Standard Method of Test for Aggregate Durability Index (Durability Index)
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: 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) 87
Durability Index (fine) 94