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Sample Record for 2021-04-19-40

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Project Information

Project ID: 215179 DEA: 010F4704 EFIS: 0116000011 QA Service Level: 1
DIST-CO-RTE-PM: 01-HUM-299-30.7/37.7
Work Description: PLACE HMA & RHMA-G & CONSTRUCT SOLDIER PILE WALL.
Location Description: HUMBOLDT COUNTY NEAR WILLOW CREEK AT VARIOUS LOCATIONS FROM 0.1 MILE EAST OF CEDAR CREEK ROAD TO 1.1 MILES WEST OF ROUTE 96 JUNCTION
Contractor Name: MERCER-FRASER COMPANY
Contractor Address: PO Box 1006, Eureka, CA 95502
Resident Engineer: Brian Winter Structure Rep.: Jarred Burrows

Sample Information

DIME Sample ID: 2021-04-19-40
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: Dispute Resolution
Type of Material: Aggregate
Sample Taken Date: 04/19/2021
Date that the sample was received by the laboratory/organization performing the testing: 06/08/2021
The quantity of what the sample constitutes: 2 bags
A brief description of the sample: 3/4" HMA PG64-16 NO RAP
From where was the sample collected: Manufacturer
Laboratory sample identification: 21-JMFDP-0110
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Mercer Fraser - Willow Creek

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-12-0007
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: 3/4 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:

Test Results

Test 1 of 8

DIME Test ID: 2021-04-19-40-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 06/18/2021
Date Tested: 06/15/2021
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
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 97.6 %
Cumulative percent passing the 1/2 in. sieve 71.4 %
Cumulative percent passing the 3/8 in. sieve 57.9 %
Cumulative percent passing the #4 sieve 44.1 %
Cumulative percent passing the #8 sieve 26.8 %
Cumulative percent passing the #16 sieve 15.4 %
Cumulative percent passing the #30 sieve 8.6 %
Cumulative percent passing the #50 sieve 4.9 %
Cumulative percent passing the #100 sieve 3.1 %
Cumulative percent passing the #200 sieve 1.84 %

Test 2 of 8

DIME Test ID: 2021-04-19-40-2
Test Method: AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)
Verified Date: 06/18/2021
Date Tested: 06/16/2021
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: 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:
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 3 %
Percentage of questionable, coarse, 1 faced particles tested 1 %
Percentage of questionable, fine, 1 faced particles tested 0 %
Percentage of fractured, coarse, 2 faced particles tested 97 %
Percentage of fractured, coarse, 1 faced particles tested 100 %
Percentage of fractured, fine, 1 faced particles tested 100 %

Test 3 of 8

DIME Test ID: 2021-04-19-40-3
Test Method: AASHTO T96-02r10: Standard Method of Test for Resistance to Degradation of Small-Size Coarse Aggregate by Abrasion and Impact in the Los Angeles Machine (Los Angeles Rattler)
Verified Date: 06/21/2021
Date Tested: 06/21/2021
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: At 100 rev and 500 rev
Test Result Compliance:
Additional Comments When Verified:
Grading designation B
Mass of sample on No.12 sieve (after 500 revolutions) 4182 grams
Percent loss after 100 revolutions 3 %
Percent loss after 500 revolutions 16 %

Test 4 of 8

DIME Test ID: 2021-04-19-40-4
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: 06/18/2021
Date Tested: 06/16/2021
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:
Sand Equivalent 90

Test 5 of 8

DIME Test ID: 2021-04-19-40-5
Test Method: AASHTO T304-11: Standard Method of Test for Uncompacted Void Content of Fine Aggregate (Fine of Crushed Particles)
Verified Date: 06/18/2021
Date Tested: 06/15/2021
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: Method A
Test Result Compliance:
Additional Comments When Verified:
What test method is performed? Method A
Bulk dry specific gravity 2.758
Average uncompacted voids 47.7 %

Test 6 of 8

DIME Test ID: 2021-04-19-40-6
Test Method: ASTM D4791-10: Standard Test Method for Flat Particles, Elongated Particles, or Flat and Elongated Particles in Coarse Aggregate (Withdrawn 2019) (Flat and Elongated Particles)
Verified Date: 06/18/2021
Date Tested: 06/17/2021
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: % by mass at 5:1
Test Result Compliance:
Additional Comments When Verified:
Method B
Determination By Mass
Dimensional ratio used 5:1
Weighted percentage of particles (by mass) that were flat and elongated 0 %
Weighted percentage of particles (by mass) that were not flat and elongated 100 %

Test 7 of 8

DIME Test ID: 2021-04-19-40-7
Test Method: AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)
Verified Date: 06/18/2021
Date Tested: 06/16/2021
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 o coarse aggregate
Test Result Compliance:
Additional Comments When Verified:
Basis for relative density testing Bulk
Specific Gravity 2.863
Absorption 0.6 %

Test 8 of 8

DIME Test ID: 2021-04-19-40-8
Test Method: AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity)
Verified Date: 06/18/2021
Date Tested: 06/16/2021
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 - Bulk 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 2.758
Bulk specific gravity (SSD Basis) 2.797
Apparent specific gravity 2.872
Absorption 1.4 %