Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993299 DEA: 022J3904 EFIS: 0221000073
QA Service Level: 1
DIST-CO-RTE-PM: 02-SHA-44-45.5/51.6
Work Description: HMA OVERLAY, REPLACE AC SURFACING AND SHOULDER BACKING.
Location Description: SHASTA COUNTY NEAR VIOLA FROM 3.0 MILES EAST OF DEER FLAT ROAD TO 0.5 MILE EAST OF BRIDGE CREEK ROAD
Contractor Name: TULLIS INC.
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown
DIME Sample ID: 2022-03-21-65
TL Number from the TL Form:
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: 03/21/2022
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 22-03-S01
A brief description of the sample: 3 bags of Untreated 3/8″ Sized Virgin Aggregate for use in 3/8-inch Type A HMA
From where was the sample collected: Manufacturer
Laboratory sample identification: D79015
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Tullis – Northstate Asphalt (Redding, CA)
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: Untreated Sized Aggregate Stockpile
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/8 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:
DIME Test ID: 2022-03-21-65-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 06/14/2022
Date Tested: 03/23/2022
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:
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What type of gradation is being tested?
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HMA Gradation
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Cumulative percent passing the 1 1/2 in. sieve
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100 %
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Cumulative percent passing the 1 in. sieve
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100 %
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Cumulative percent passing the 3/4 in. sieve
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100 %
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Cumulative percent passing the 1/2 in. sieve
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100 %
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Cumulative percent passing the 3/8 in. sieve
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99.4 %
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Cumulative percent passing the 1/4 in. sieve
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51.6 %
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Cumulative percent passing the #4 sieve
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20.8 %
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Cumulative percent passing the #8 sieve
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3.3 %
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Cumulative percent passing the #16 sieve
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2.2 %
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Cumulative percent passing the #30 sieve
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1.7 %
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Cumulative percent passing the #50 sieve
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1.4 %
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Cumulative percent passing the #100 sieve
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1.1 %
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Cumulative percent passing the #200 sieve
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0.86 %
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