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Sample Record for 2024-01-29-16

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 215620 DEA: 01436404 EFIS: 0100000193 QA Service Level: 1
DIST-CO-RTE-PM: 01-DN-101-35.8/36.5
Work Description: Dr. Fine Bridge Replacement
Location Description: DR. FINE BRIDGE REPLACEMENT FROM LAKE EARL DR TO S FRED D. HAIGHT DR ON HWY 101 ACROSS SMITH RIVER.
Contractor Name: MCM Construction
Contractor Address: PO Box 620, North Highlands, Ca 95660
Resident Engineer: Clayton Malmberg Structure Rep.: Brian Cinkutis

Sample Information

DIME Sample ID: 2024-01-29-16
TL Number from the TL Form:
Sample Submitted By Organization: CT D01 - Crescent City Field Laboratory
Sample Organization Contact: (707) 496-5581
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 01/29/2024
Date that the sample was received by the laboratory/organization performing the testing: 01/30/2024
The quantity of what the sample constitutes: 4 Bags
A brief description of the sample: 1/2' agg
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name: Dr. Fine Detour bridge
The fabricator/manufacturer/facility name: Tidewater Starry pit

Material Information

Source Identification (SMARA, name of Pit or Job Site): tidewater
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: discharge from belt before dryer
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 2

DIME Test ID: 2024-01-29-16-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 02/02/2024
Date Tested: 02/01/2024
Submitted By Organization: CT D01 - District 1 Materials Laboratory
Organization Address: 1726 Albee Street,
Organization City: Eureka
Organization State: CA
Organization Zipcode: 95501
Organization Email: leif.ayres@dot.ca.gov
Organization Phone: (707) 496-0974
General Comments for this Test: Combined Gradation 15% RAP
Test Result Compliance: complies
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 97 %
Cumulative percent passing the 3/8 in. sieve 84 %
Cumulative percent passing the #4 sieve 50 %
Cumulative percent passing the #8 sieve 34 %
Cumulative percent passing the #16 sieve 22 %
Cumulative percent passing the #30 sieve 14 %
Cumulative percent passing the #50 sieve 9 %
Cumulative percent passing the #100 sieve 6 %
Cumulative percent passing the #200 sieve 4.3 %

Test 2 of 2

DIME Test ID: 2024-01-29-16-2
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: 02/02/2024
Date Tested: 02/01/2024
Submitted By Organization: CT D01 - District 1 Materials Laboratory
Organization Address: 1726 Albee Street,
Organization City: Eureka
Organization State: CA
Organization Zipcode: 95501
Organization Email: leif.ayres@dot.ca.gov
Organization Phone: (707) 496-0974
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sand Equivalent 73