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Sample Record for 2022-03-17-29

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: 2022-03-17-29
TL Number from the TL Form: 708109
Sample Submitted By Organization: CT D02 - Redding Northern Regional Laboratory
Sample Organization Contact: (530) 225-3194
Type of Sample: Verification
Type of Material: Aggregate
Sample Taken Date: 03/17/2022
Date that the sample was received by the laboratory/organization performing the testing: 03/21/2022
The quantity of what the sample constitutes: JMF Verification
A brief description of the sample: 2 bags of Treated Virgin Aggregate from Cold Feed for use in 3/4-inch Type A HMA
From where was the sample collected: Manufacturer
Laboratory sample identification: D79008A
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Tullis – Northstate Asphalt (Redding, CA)

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-45-0057::Shasta Ranch Aggregates
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: Cold Feed Sampling Device at Plant
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number: JMF 22-01-S01
Lot number:
Sublot number:
Aggregate Mix Number:

Test Results

Test 1 of 1

DIME Test ID: 2022-03-17-29-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 05/13/2022
Date Tested: 03/22/2022
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:
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 89 %
Cumulative percent passing the 3/8 in. sieve 64.9 %
Cumulative percent passing the 1/4 in. sieve 42.7 %
Cumulative percent passing the #4 sieve 36.1 %
Cumulative percent passing the #8 sieve 23.7 %
Cumulative percent passing the #16 sieve 15 %
Cumulative percent passing the #30 sieve 10.1 %
Cumulative percent passing the #50 sieve 6.9 %
Cumulative percent passing the #100 sieve 4.9 %
Cumulative percent passing the #200 sieve 3.67 %