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Sample Record for 2023-05-15-51

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Project Information

Project ID: 212498 DEA: 021H5204 EFIS: 0217000009 QA Service Level: 1
DIST-CO-RTE-PM: 02-SIS-3,263-48.5/49.7 - 49.41
Work Description: Roadway Rehabilitation
Location Description: 02-Sis-3, 263-R46.8/R48.0, 49.07/49.41
Contractor Name: Myers-Shea JV
Contractor Address: 45 Morrison Ave, Sacramento, CA 95838
Resident Engineer: Austin Henry Structure Rep.: Nicolas Jimenez

Sample Information

DIME Sample ID: 2023-05-15-51
TL Number from the TL Form: 815608
Sample Submitted By Organization: CT D02 - Redding Northern Regional Laboratory
Sample Organization Contact: (530) 225-3194
Type of Sample: Production Start-Up
Type of Material: Aggregate
Sample Taken Date: 05/15/2023
Date that the sample was received by the laboratory/organization performing the testing: 05/15/2023
The quantity of what the sample constitutes: Production Start-Up Evaluation
A brief description of the sample: 3 bags of Untreated 3/8-inch Sized Virgin Aggregate
From where was the sample collected: Manufacturer
Laboratory sample identification: D79229B
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: JF Shea Construction - Fawndale Rock and Asphalt - Redding, CA

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-45-0017::Fawndale Rock Quarry - Redding, CA
The fabricator's/manufacturer's product name for the sample: 3/8-inch
The fabricator/manufacturer designation for the sample:
The plant number:
A detailed description of where the material sample was collected: Stockpile at 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): 2

Test Results

Test 1 of 2

DIME Test ID: 2023-05-15-51-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 05/18/2023
Date Tested: 05/16/2023
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: not applicable
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 100 %
Cumulative percent passing the 3/8 in. sieve 98 %
Cumulative percent passing the #4 sieve 24 %
Cumulative percent passing the #8 sieve 4 %
Cumulative percent passing the #16 sieve 4 %
Cumulative percent passing the #30 sieve 3 %
Cumulative percent passing the #50 sieve 3 %
Cumulative percent passing the #100 sieve 3 %
Cumulative percent passing the #200 sieve 2.7 %

Test 2 of 2

DIME Test ID: 2023-05-15-51-2
Test Method: AASHTO T104-99r16: Standard Method of Test for Soundness of Aggregate by Use of Sodium Sulfate or Magnesium Sulfate (Soundness)
Verified Date: 06/27/2023
Date Tested: 06/27/2023
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:
Size of aggregate being tested Fine Aggregate
What type of solution was used? Sodium sulfate
What was the condition of the solution? Previously used
Number of immersion cycles performed 5
Fine weighted average loss 4.3 %