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Sample Record for 2023-01-30-4

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: 2023-01-30-4
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: 01/30/2023
Date that the sample was received by the laboratory/organization performing the testing: 02/02/2023
The quantity of what the sample constitutes: 4 Bags
A brief description of the sample: Aggregate
From where was the sample collected: Source
Laboratory sample identification: 23-JMFPP-0012
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Granite - Vernalis

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-39-0002
The fabricator's/manufacturer's product name for the sample:
The fabricator/manufacturer designation for the sample: 3922
The plant number:
A detailed description of where the material sample was collected: HMA 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

Test 1 of 5

DIME Test ID: 2023-01-30-4-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 02/09/2023
Date Tested: 02/08/2023
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 94 %
Cumulative percent passing the 3/8 in. sieve 83 %
Cumulative percent passing the #4 sieve 55 %
Cumulative percent passing the #8 sieve 29 %
Cumulative percent passing the #16 sieve 18 %
Cumulative percent passing the #30 sieve 12 %
Cumulative percent passing the #50 sieve 8 %
Cumulative percent passing the #100 sieve 5 %
Cumulative percent passing the #200 sieve 3.7 %

Test 2 of 5

DIME Test ID: 2023-01-30-4-2
Test Method: AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity)
Verified Date: 02/22/2023
Date Tested: 02/21/2023
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 2.539
Bulk specific gravity (SSD Basis) 2.604
Apparent specific gravity 2.714
Absorption 2.5 %

Test 3 of 5

DIME Test ID: 2023-01-30-4-3
Test Method: AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)
Verified Date: 02/22/2023
Date Tested: 02/17/2023
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 2.606
Absorption 1.6 %

Test 4 of 5

DIME Test ID: 2023-01-30-4-4
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: 02/22/2023
Date Tested: 02/17/2023
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 60

Test 5 of 5

DIME Test ID: 2023-01-30-4-5
Test Method: AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)
Verified Date: 02/22/2023
Date Tested: 02/21/2023
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 3 %
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 97 %
Percentage of fractured, coarse, 1 faced particles tested 99 %
Percentage of fractured, fine, 1 faced particles tested 100 %