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Sample Record for 2019-06-12-20

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

Project Information

Project ID: 66666 DEA: APP EFIS: 0019000052 QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for submitting Sample information for Aggregate Pre-approval Program (APP). Object Code: 1025. J2 DEA: 912680.
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2019-06-12-20
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Aggregate Testing Laboratory
Sample Organization Contact: (916) 227-7204
Type of Sample: Aggregate Prequalification Program
Type of Material: Aggregate
Sample Taken Date: 06/12/2019
Date that the sample was received by the laboratory/organization performing the testing: 06/10/2020
The quantity of what the sample constitutes: 4 Bags
A brief description of the sample: Fine Aggregate
From where was the sample collected: Source
Laboratory sample identification: 20-0100
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: George Reed Inc

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-03-0020::JACKSON VALLEY QUARRY
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: Stockpile
Where the material sample would have been placed if not sampled: Unknown
Primary Aggregate Nominal Size: fine
The concrete mix design number: Unknown
Lot number: Unknown
Sublot number: Unknown
Aggregate Mix Number:

Test Results

Test 1 of 5

DIME Test ID: 2019-06-12-20-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 07/15/2020
Date Tested: 07/01/2020
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? Fine Aggregate
Total mass of sample tested 1223.5 grams
Cumulative percent passing the 3/8 in. sieve 100 %
Cumulative percent passing the #4 sieve 98.7 %
Cumulative percent passing the #8 sieve 81.3 %
Cumulative percent passing the #16 sieve 54 %
Cumulative percent passing the #30 sieve 34.3 %
Cumulative percent passing the #50 sieve 18.7 %
Cumulative percent passing the #100 sieve 10.8 %
Cumulative percent passing the #200 sieve 6.7 %

Test 2 of 5

DIME Test ID: 2019-06-12-20-2
Test Method: AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)
Verified Date: 07/15/2020
Date Tested: 07/08/2020
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:
Method 1 - Combined Fracture Determination
Aggregate Size and Fracture Type Fine 1 Faced
Percentage of questionable, fine, 1 faced particles tested 0 %
Percentage of fractured, fine, 1 faced particles tested 100 %

Test 3 of 5

DIME Test ID: 2019-06-12-20-3
Test Method: AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity)
Verified Date: 07/15/2020
Date Tested: 07/06/2020
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:
Bulk specific gravity 2.730
Bulk specific gravity (SSD Basis) 2.767
Apparent specific gravity 2.834
Absorption 1.3 %

Test 4 of 5

DIME Test ID: 2019-06-12-20-4
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: 07/15/2020
Date Tested: 07/01/2020
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 73

Test 5 of 5

DIME Test ID: 2019-06-12-20-6
Test Method: AASHTO T304-11: Standard Method of Test for Uncompacted Void Content of Fine Aggregate (Fine of Crushed Particles)
Verified Date: 07/15/2020
Date Tested: 07/01/2020
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 test method is performed? Method A
Bulk dry specific gravity 2.731
Average uncompacted voids 46.5 %