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Sample Record for 2020-05-21-32

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

Project Information

Project ID: 214725 DEA: 020J1304 EFIS: 0219000064 QA Service Level: 1
DIST-CO-RTE-PM: 02-LAS-139-43.0/53.0
Work Description: COLD IN-PLACE RECYCLING AND PLACE HMA (TYPE A).
Location Description: LASSEN COUNTY ABOUT 42 MILES NORTH OF SUSANVILLE FROM 3.8 MILES NORTH OF SLATE CREEK TO 4.7 MILES SOUTH OF WILLOW CREEK RANCH ROAD
Contractor Name: HAT CREEK CONSTRUCTION & MATERIALS, INC.
Contractor Address: 24339 STATE HIGHWAY 89 N.;, BURNEY CA 96013
Resident Engineer: Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-05-21-32
TL Number from the TL Form: 733194
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: 05/21/2020
Date that the sample was received by the laboratory/organization performing the testing: 05/22/2020
The quantity of what the sample constitutes: JMF Verification Renewal
A brief description of the sample: 3/8-inch Untreated Sized Virgin Aggregate
From where was the sample collected: Source
Laboratory sample identification: D78440B
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Shaw Pit

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-25-0008
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: Untreated Sized Aggregate Stockpile
Where the material sample would have been placed if not sampled: Unknown
Primary Aggregate Nominal Size: 1/2 inch
The concrete mix design number: JMF 19-05-R1
Lot number: Unknown
Sublot number: Unknown
Aggregate Mix Number:

Test Results

Test 1 of 2

DIME Test ID: 2020-05-21-32-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 07/13/2020
Date Tested: 05/23/2020
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 100 %
Cumulative percent passing the 1/2 in. sieve 99.9 %
Cumulative percent passing the 3/8 in. sieve 82.6 %
Cumulative percent passing the 1/4 in. sieve 17.2 %
Cumulative percent passing the #4 sieve 3.4 %
Cumulative percent passing the #8 sieve 1.4 %
Cumulative percent passing the #16 sieve 1 %
Cumulative percent passing the #30 sieve 0.9 %
Cumulative percent passing the #50 sieve 0.8 %
Cumulative percent passing the #100 sieve 0.7 %
Cumulative percent passing the #200 sieve 0.65 %

Test 2 of 2

DIME Test ID: 2020-05-21-32-2
Test Method: AASHTO T104-99r16: Standard Method of Test for Soundness of Aggregate by Use of Sodium Sulfate or Magnesium Sulfate (Soundness)
Verified Date: 08/05/2020
Date Tested: 08/05/2020
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:
Size of aggregate being tested Coarse Aggregate
What type of solution was used? Sodium sulfate
What was the condition of the solution? Previously used
Number of immersion cycles performed 5
Coarse weighted average loss 4.8 %