Sample Record for 2017-06-02-14
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 211871 DEA: 022H3304
QA Service Level: 1
DIST-CO-RTE-PM: 02-LAS,MOD-395-119.0/128.7,39.9/61.6
Work Description: ASPHALT-RUBBER CHIP SEAL, REPLACE AC SURFACING, STRIPING
Location Description: LASSEN AND MODOC COUNTIES ON ROUTE 395 FROM 1.7 MILES SOUTH OF FILLMAN ROAD TO 0.4 MILE SOUTH OF ASH VALLEY ROAD AND FROM COUNTY ROAD 133A TO OREGON STATE LINE
Contractor Name: AMERICAN PAVEMENT SYSTEMS, INC.
Contractor Address: Unknown
Resident Engineer: MANDHIR GREWAL Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2017-06-02-14
TL Number from the TL Form: 852336
Sample Submitted By Organization: CT HQ - Sacramento Aggregate Testing Laboratory
Sample Organization Contact: (916) 227-7204
Type of Sample: Verification
Type of Material: Job Mix Formula Partial
Sample Taken Date: 06/02/2017
Date that the sample was received by the laboratory/organization performing the testing: 06/02/2017
The quantity of what the sample constitutes: JMF
A brief description of the sample: virgin aggregate
From where was the sample collected: Manufacturer
Laboratory sample identification: D76964, 17-0222
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Eagle Peak Rock and Paving, Alturas, CA
Material Information
Source Identification (SMARA, name of Pit or Job Site): 91-25-0029
The fabricator's/manufacturer's product name for the sample: Unknown
The fabricator/manufacturer designation for the sample: Unknown
The plant number: Unknown
A detailed description of where the material sample was collected: stockpiles
Where the material sample would have been placed if not sampled: JMF
Superpave or Non-superpave Mix: Superpave
Test Results
Test 1 of 1
DIME Test ID: 2017-06-02-14-1
Test Method: AASHTO T104-11: Standard Method of Test for Soundness of Aggregate by Use of Sodium Sulfate or Magnesium Sulfate (Soundness)
Verified Date: 08/14/2017
Date Tested: 08/14/2017
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: Weighted average for fine material is 3.2%
Test Result Compliance: complies
Additional Comments When Verified:
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What type of solution was used?
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Sodium sulfate
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What was the condition of the solution?
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Previously used
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Mass of sample retained on the #4 sieve (before immersion)
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no data
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Mass of sample retained on the #4 sieve (before immersion)
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0 grams
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Mass of sample retained on the #8 sieve (before immersion)
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100.1 grams
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Mass of sample retained on the #16 sieve (before immersion)
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100.1 grams
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Mass of sample retained on the #30 sieve (before immersion)
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100 grams
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Mass of sample retained on the #50 sieve (before immersion)
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100 grams
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Percent loss from sample retained on the No. 4 x 8 sieve (fine)
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0 %
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Percent loss from sample retained on the No. 8 x 16 sieve
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4 %
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Percent loss from sample retained on the No. 16 x 30 sieve
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3 %
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Percent loss from sample retained on the No. 30 x 50 sieve
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2 %
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Percent loss from sample retained on the #50 sieve
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4 %
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Fine weighted average loss
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no data
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