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Sample Record for 2023-10-04-35

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: 2023-10-04-35
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: 10/04/2023
Date that the sample was received by the laboratory/organization performing the testing: 10/09/2023
The quantity of what the sample constitutes: 3 Bags Of Aggregate
A brief description of the sample: 1/2" Aggregate
From where was the sample collected: Source
Laboratory sample identification: 23-JMFPP-0179
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Granite Vernalis Plant

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:
The plant number:
A detailed description of where the material sample was collected: HMA Plant Cold Feed
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): 4

Test Results

Test 1 of 4

DIME Test ID: 2023-10-04-35-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 10/12/2023
Date Tested: 10/12/2023
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
Individual mass retained on the 1 1/2 in. sieve 0.0 grams
Individual mass retained on the 1 in. sieve 0.0 grams
Individual mass retained on the 3/4 in. sieve 0.0 grams
Individual mass retained on the 1/2 in. sieve 104.0 grams
Individual mass retained on the 3/8 in. sieve 190.6 grams
Individual mass retained on the #4 sieve 1175.5 grams
Individual mass retained on the #8 sieve 243.0 grams
Individual mass retained on the #16 sieve 80.3 grams
Individual mass retained on the #30 sieve 45.4 grams
Individual mass retained on the #50 sieve 28.0 grams
Individual mass retained on the #100 sieve 20.3 grams
Individual mass retained on the #200 sieve 11.0 grams
Individual mass retained on the pan 1.4 grams
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 97 %
Cumulative percent passing the 3/8 in. sieve 91 %
Cumulative percent passing the #4 sieve 55 %
Cumulative percent passing the #8 sieve 26 %
Cumulative percent passing the #16 sieve 16 %
Cumulative percent passing the #30 sieve 11 %
Cumulative percent passing the #50 sieve 7 %
Cumulative percent passing the #100 sieve 5 %
Cumulative percent passing the #200 sieve 3.4 %

Test 2 of 4

DIME Test ID: 2023-10-04-35-2
Test Method: AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity)
Verified Date: 10/12/2023
Date Tested: 10/12/2023
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, Apparent 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 2.577
Bulk specific gravity (SSD Basis) 2.631
Apparent specific gravity 2.725
Absorption 2.1 %

Test 3 of 4

DIME Test ID: 2023-10-04-35-3
Test Method: AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)
Verified Date: 10/12/2023
Date Tested: 10/12/2023
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 2.636
Absorption 1.2 %

Test 4 of 4

DIME Test ID: 2023-10-04-35-4
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: 10/13/2023
Date Tested: 10/13/2023
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: Sand equivalent (min)
Test Result Compliance:
Additional Comments When Verified:
Sand Equivalent 56