Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994387 DEA: 023J7704 EFIS: 0222000082
QA Service Level: 1
DIST-CO-RTE-PM: 02-SIS-96-97.2/103.0
Work Description: RHMA OVERLAY, REPLACE AC SURFACING, GUARDRAIL AND TRAFFIC STRIPE.
Location Description: SISKIYOU COUNTY ABOUT 21 MILES EAST OF HORSE CREEK FROM 4.2 MILES EAST OF EMPIRE CREEK BRIDGE TO 0.4 MILE WEST OF ROUTE 263
Contractor Name: TULLIS INC.
Contractor Address: Unknown
Resident Engineer: Nicholas Riddle Structure Rep.: Unknown
DIME Sample ID: 2023-05-23-88
TL Number from the TL Form: 815620
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: 05/23/2023
Date that the sample was received by the laboratory/organization performing the testing: 05/22/2023
The quantity of what the sample constitutes: JMF 23-04-S01
A brief description of the sample: 3 bags of Untreated 3/8″ Sized Virgin Aggregate
From where was the sample collected: Manufacturer
Laboratory sample identification: D79247B
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 - Anderson, CA
The fabricator's/manufacturer's product name for the sample: 3/8_
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: 3/8 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:
DIME Test ID: 2023-05-23-88-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 07/10/2023
Date Tested: 06/02/2023
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
|
99 %
|
Cumulative percent passing the #4 sieve
|
21 %
|
Cumulative percent passing the #8 sieve
|
5 %
|
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
|
2 %
|
Cumulative percent passing the #200 sieve
|
2.2 %
|
DIME Test ID: 2023-05-23-88-2
Test Method: AASHTO T104-99r16: Standard Method of Test for Soundness of Aggregate by Use of Sodium Sulfate or Magnesium Sulfate (Soundness)
Verified Date: 08/04/2023
Date Tested: 08/04/2023
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: ryan.kester@dot.ca.gov
Organization Phone: (916) 227-7215
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?
|
Freshly prepared
|
Number of immersion cycles performed
|
5
|
Fine weighted average loss
|
2.5 %
|