Project Information

Project ID: 994469 DEA: 044J89U4 EFIS: 0419000140 COOP: 042806 QA Service Level: 1

DIST-CO-RTE-PM: 04-SCL-82-18.2/26.4

Work Description: COLD PLANE AC, RHMA, SLAB REPL, CURB RAMPS, AND MOD ELECT SYSTEMS.

Location Description: SANTA CLARA COUNTY AT VARIOUS LOCATIONS FROM KNICKERBOCKER DRIVE IN SUNNYVALE TO SAN MATEO COUNTY LINE IN PALO ALTO

Contractor Name: O.C. JONES & SONS, INC.

Contractor Address: 1520 Fourth Street, Berkeley CA 94710

Resident Engineer: Arif Khan Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2024-10-04-27

TL Number from the TL Form: C317-100424-2

Sample Submitted By Organization: CT D04 - San Jose Construction Field Laboratory

Sample Organization Contact: (510) 385-8171

Type of Sample: Quality Assurance

Type of Material: Aggregate

Sample Taken Date: 10/04/2024

Date that the sample was received by the laboratory/organization performing the testing: 10/07/2024

The quantity of what the sample constitutes: 1 bag

A brief description of the sample: 3/4" RHMA-G WMA

From where was the sample collected: Source

Laboratory sample identification: SJ-100424-SA2

Structure unique identifier:

Structure name:

The fabricator/manufacturer/facility name: DeSilva Gates Aggregates Sunol

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-01-0007

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: Conveyer Belt

Where the material sample would have been placed if not sampled:

Primary Aggregate Nominal Size: 3/4 inch

The concrete mix design number: 6654

Lot number: 2

Sublot number: 16

Aggregate Mix Number:

Test Results

Test 1 of 2

DIME Test ID: 2024-10-04-27-1

Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)

Verified Date: 10/31/2024

Date Tested: 10/07/2024

Submitted By Organization: CT D04 - San Jose Construction Field Laboratory

Organization Address: 1007 Knox Avenue,

Organization City: San Jose

Organization State: CA

Organization Zipcode: 95122

Organization Email: fernando.vega@dot.ca.gov

Organization Phone: (510) 385-8171

General Comments for this Test: DeSilva Gates Aggregates Sunol Drum Plant

Test Result Compliance: complies

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 %
Cumulative percent passing the 1/2 in. sieve	85 %
Cumulative percent passing the 3/8 in. sieve	69 %
Cumulative percent passing the #4 sieve	30 %
Cumulative percent passing the #8 sieve	11 %
Cumulative percent passing the #16 sieve	7 %
Cumulative percent passing the #30 sieve	5 %
Cumulative percent passing the #50 sieve	3 %
Cumulative percent passing the #100 sieve	2 %
Cumulative percent passing the #200 sieve	1.8 %

Test 2 of 2

DIME Test ID: 2024-10-04-27-2

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)