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Sample Record for 2024-10-11-58

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

Project Information

Project ID: 1000255 DEA: 081N7504 EFIS: 0823000045 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-138,189-21.4/R37.8,0.0/5.6
Work Description: SLURRY SEAL, TWO-COMPONENT PAINT TRAFFIC STRIPE, REPLACE AC SURFACING.
Location Description: SAN BERNARDINO COUNTY ON ROUTE 138 FROM BOLINGBROKE ROAD TO ROUTE 18 AND ON ROUTE 189 FROM ROUTE 18 TO ROUTE 173
Contractor Name: PAVEMENT COATINGS CO.
Contractor Address: Unknown
Resident Engineer: Md Rahman Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2024-10-11-58
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Sample Organization Contact: 9512323690
Type of Sample: Acceptance
Type of Material: Aggregate
Sample Taken Date: 10/11/2024
Date that the sample was received by the laboratory/organization performing the testing: 10/11/2024
The quantity of what the sample constitutes: 120.00 Tons @ 5:40am
A brief description of the sample: 3/4" HMA-A PG 64-10
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: All American Asphalt - Corona

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-33-0005
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: Belt Cut at All American Corona Plant
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number: 105793

Test Results

Test 1 of 3

DIME Test ID: 2024-10-11-58-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 10/17/2024
Date Tested: 10/15/2024
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
What type of gradation is being tested? HMA Gradation
Cumulative percent passing the 2 in. sieve no data
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 97 %
Cumulative percent passing the 1/2 in. sieve 87 %
Cumulative percent passing the 3/8 in. sieve 74 %
Cumulative percent passing the #4 sieve 46 %
Cumulative percent passing the #8 sieve 31 %
Cumulative percent passing the #16 sieve 21 %
Cumulative percent passing the #30 sieve 14 %
Cumulative percent passing the #50 sieve 9 %
Cumulative percent passing the #100 sieve 6 %
Cumulative percent passing the #200 sieve 4.7 %

Test 2 of 3

DIME Test ID: 2024-10-11-58-2
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)
Verified Date: 10/17/2024
Date Tested: 10/15/2024
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Sand Equivalent 63

Test 3 of 3

DIME Test ID: 2024-10-11-58-3
Test Method: AASHTO T255-0: Standard Method of Test for Total Evaporable Moisture Content of Aggregate by Drying
Verified Date: 10/17/2024
Date Tested: 10/15/2024
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Total evaporable moisture content 2 %