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Testing Report for 2021-04-27-28-2

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

Project Information

DEA: 010E0004
EFIS: 0113000091
Project ID: 214511
QA Service Level: 1
DIST-CO-RTE-PM: 01-HUM-101-84.4/84.8
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Nathaniel Steen
Structure Rep.: Jarred Burrows

Sample Information

DIME Sample ID: 2021-04-27-28
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Hot Mix Asphalt Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Dispute Resolution
Type of Material: Aggregate
Sample Taken Date: 4/27/2021
Date that the sample was received by the laboratory/organization performing the testing: 5/25/2021
The quantity of what the sample constitutes: _
A brief description of the sample: 1/2" HMA NO RAP
From where was the sample collected: Manufacturer
Laboratory sample identification: 21-JMF-0102
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Mercer Fraser - Fortuna

Material Information

Source Identification (SMARA or name of Pit): 91-12-0002
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: 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:

Test Information

DIME Test ID: 2021-04-27-28-2
Test Method: AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)
Date Tested: 6/4/2021
Verified Date: 6/7/2021
Submitted By Organization: CT HQ - Sacramento Aggregate Testing Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email:
Organization Phone: (916) 227-7204
General Comments for this Test: - Crushed particles, coarse aggregate one fractured face. - Crushed particles, coarse aggregate two fractured faces. - Crushed particles, fine aggregate (Passing No. 4 sieve and retained on No. 8 sieve) one fractured face.
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Method: 1 - Combined Fracture Determination
Aggregate Size and Fracture Type: Coarse 1 and 2 Faced and Fine 1 Faced
Percentage of questionable, coarse, 2 faced particles tested: 1 %
Percentage of questionable, coarse, 1 faced particles tested: 1 %
Percentage of questionable, fine, 1 faced particles tested: 1 %
Percentage of fractured, coarse, 2 faced particles tested: 99 %
Percentage of fractured, coarse, 1 faced particles tested: 99 %
Percentage of fractured, fine, 1 faced particles tested: 99 %