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Sample Record for 2021-05-14-33

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Project Information

Project ID: 212496 DEA: 024E4504 EFIS: 0200020286 QA Service Level: 1
DIST-CO-RTE-PM: 02-LAS,MOD-139,299-VAR
Work Description: PLACE HMA, REPLACE DRAINAGE, CULVERT, ELECTRICAL AND LIGHTING SYSTEMS.
Location Description: LASSEN AND MODOC COUNTIES ON ROUTE 139 AT 0.1 MILE NORTH OF LASSEN COUNTY LINE AND ON ROUTE 299 AT VARIOUS LOCATONS FROM 0.4 MILE WEST OF BOYD HILL LOOKOUT ROAD TO 0.6 MILE EAST OF COUNTY ROAD 87
Contractor Name: PAR ELECTRICAL CONTRACTORS INC
Contractor Address: 1465 WEST FOURTH STREET, RENO, NV 89503
Resident Engineer: Mike Zdenek Structure Rep.: Chris Brace

Sample Information

DIME Sample ID: 2021-05-14-33
TL Number from the TL Form: 765850
Sample Submitted By Organization: CT D02 - Redding Northern Regional Laboratory
Sample Organization Contact: (530) 225-3194
Type of Sample: Acceptance
Type of Material: Aggregate
Sample Taken Date: 05/14/2021
Date that the sample was received by the laboratory/organization performing the testing: 05/18/2021
The quantity of what the sample constitutes: 750 Tons
A brief description of the sample: 3/4-inch Type A Treated Virgin Aggregate
From where was the sample collected: Manufacturer
Laboratory sample identification: D78798A
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Hat Creek Construction and Materials - Shaw Pit Facility - Lookout, CA

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-25-0008
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: 3/4 inch
The concrete mix design number: JMF 21-03-001
Lot number: 1
Sublot number: 5
Aggregate Mix Number:

Test Results

Test 1 of 1

DIME Test ID: 2021-05-14-33-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 07/22/2021
Date Tested: 05/19/2021
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:
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 98.4 %
Cumulative percent passing the 1/2 in. sieve 70.6 %
Cumulative percent passing the 3/8 in. sieve 56.6 %
Cumulative percent passing the 1/4 in. sieve 41.3 %
Cumulative percent passing the #4 sieve 32.6 %
Cumulative percent passing the #8 sieve 19.3 %
Cumulative percent passing the #16 sieve 12.2 %
Cumulative percent passing the #30 sieve 8.1 %
Cumulative percent passing the #50 sieve 5.7 %
Cumulative percent passing the #100 sieve 4.3 %
Cumulative percent passing the #200 sieve 3.58 %