Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993297 DEA: 010F8204 EFIS: 0116000067
QA Service Level: 1
DIST-CO-RTE-PM: 01-HUM-101-R90.1/109.6
Work Description: PLACE RHMA-G AND HMA (TYPE A).
Location Description: IN HUMBOLDT COUNTY IN AND NEAR TRINIDAD FROM 1.3 MILES SOUTH OF SCHOOL ROAD OVERCROSSING TO 0.4 MILE NORTH OF BIG LAGOON BRIDGE
Contractor Name: MERCER-FRASER COMPANY
Contractor Address: 77 West Second Street, Eureka, CA 95501
Resident Engineer: Ryan Dunne Structure Rep.: Michele Stover
DIME Sample ID: 2023-07-06-115
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: Dispute Resolution
Type of Material: Aggregate
Sample Taken Date: 07/06/2023
Date that the sample was received by the laboratory/organization performing the testing: 08/08/2023
The quantity of what the sample constitutes: JMF Verification
A brief description of the sample: 4 bags of 1/2-inch Type G Aggregate
From where was the sample collected: Manufacturer
Laboratory sample identification: D79312
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Mercer-Fraser — Plant B (Fortuna, CA)
Source Identification (SMARA, name of Pit or Job Site): 91-12-0002:: Sandy Prairie (Fortuna, CA)
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: 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:
DIME Test ID: 2023-07-06-115-1
Test Method: AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)
Verified Date: 01/18/2024
Date Tested: 08/14/2023
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: Gsbc=2.604
Test Result Compliance: not applicable
Additional Comments When Verified:
|
Basis for relative density testing
|
Bulk
|
|
Specific Gravity
|
2.604
|
|
Absorption
|
1.6 %
|
DIME Test ID: 2023-07-06-115-2
Test Method: AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity)
Verified Date: 01/18/2024
Date Tested: 08/14/2023
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: Gsbf(unwashed)=2.512
Test Result Compliance: not applicable
Additional Comments When Verified:
|
Bulk specific gravity
|
2.512
|
|
Bulk specific gravity (SSD Basis)
|
2.587
|
|
Apparent specific gravity
|
2.716
|
|
Absorption
|
3 %
|
