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Sample Record for 2019-05-13-12

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

Project Information

Project ID: 212753 DEA: 020H7604 EFIS: 0215000086 QA Service Level: 1
DIST-CO-RTE-PM: 02-LAS,PLU-VAR-VAR
Work Description: FULL DEPTH RECLAMATION AND DRAINAGE REHABILITATION
Location Description: LASSEN AND PLUMAS COUNTIES AT AND NEAR CHILCOOT FROM 0.9 MILE WEST OF SUMMIT SCHOOL DRIVE TO 0.7 MILE EAST OF ROUTE 395
Contractor Name: HAT CREEK CONSTRUCTION & MATERIALS, INC.
Contractor Address: 24339 HWT 89, BURNEY, CA 96013
Resident Engineer: Ron Collins Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2019-05-13-12
TL Number from the TL Form: 001351
Sample Submitted By Organization: CT D02 - Redding Northern Regional Laboratory
Sample Organization Contact: (530) 225-3194
Type of Sample: Verification
Type of Material: Aggregate
Sample Taken Date: 05/13/2019
Date that the sample was received by the laboratory/organization performing the testing: 05/14/2019
The quantity of what the sample constitutes: JMF Verification
A brief description of the sample: Treated Virgin 3/4-inch Type A Aggregate
From where was the sample collected: Manufacturer
Laboratory sample identification: D77884A
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Ward Lake Plant

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-18-0008::WARD LAKE PIT
The fabricator's/manufacturer's product name for the sample: Unknown
The fabricator/manufacturer designation for the sample: 19-1278.106
The plant number: Unknown
A detailed description of where the material sample was collected: Cold Feed
Where the material sample would have been placed if not sampled: Unknown
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number: JMF 19-10-S1
Lot number: 0
Sublot number: 0
Aggregate Mix Number:

Test Results

Test 1 of 2

DIME Test ID: 2019-05-13-12-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Submitted By Organization: CT D02 - Redding Northern Regional Laboratory
Organization Address: 1657 Riverside Drive, MS-83,
Organization City: Redding
Organization State: CA
Organization Zipcode: 96001
Organization Email: ward.jenkins@dot.ca.gov
Organization Phone: (530) 225-3194
This test has been superseded on 06/20/2019.
Reason: retested

Test 2 of 2

DIME Test ID: 2019-05-13-12-2
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 06/20/2019
Date Tested: 05/14/2019
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 98.1 %
Cumulative percent passing the 1/2 in. sieve 83.3 %
Cumulative percent passing the 3/8 in. sieve 72.6 %
Cumulative percent passing the 1/4 in. sieve 52.9 %
Cumulative percent passing the #4 sieve 44.7 %
Cumulative percent passing the #8 sieve 29.7 %
Cumulative percent passing the #16 sieve 20 %
Cumulative percent passing the #30 sieve 14 %
Cumulative percent passing the #50 sieve 9.6 %
Cumulative percent passing the #100 sieve 6.3 %
Cumulative percent passing the #200 sieve 4.42 %