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Sample Record for 2024-10-10-67

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

Project Information

Project ID: 994051 DEA: 041Q5814 EFIS: 0421000262 QA Service Level: 1
DIST-CO-RTE-PM: 04-SM-101-0.0-6.5
Work Description: REHABILITATE PAVEMENT AND UPGRADE MEDIAN BARRIER [PS&E E-COPY AVAILABLE UPON REQUEST]
Location Description: SAN MATEO COUNTY FROM SAN MATEO COUNTY LINE IN EAST PALO ALTO TO WHIPPLE AVENUE IN REDWOOD CITY
Contractor Name: BAY CITIES PAVING & GRADING, INC.
Contractor Address: Unknown
Resident Engineer: Ethan Malonzo Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2024-10-10-67
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - Hayward Field Laboratory
Sample Organization Contact: (510) 723-0168
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 10/10/2024
Date that the sample was received by the laboratory/organization performing the testing: 10/11/2024
The quantity of what the sample constitutes: 0-750 Tons
A brief description of the sample: 1/2 Inch RHMA-G
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Pleasanton

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-01-0010
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: source
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 1/2 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:

Test Results

Test 1 of 3

DIME Test ID: 2024-10-10-67-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 11/06/2024
Date Tested: 10/11/2024
Submitted By Organization: CT D04 - Hayward Field Laboratory
Organization Address: 21339 Cabot Boulevard,
Organization City: Hayward
Organization State: CA
Organization Zipcode: 94545
Organization Email: pamela.brown@dot.ca.gov
Organization Phone: (510) 385-8258
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 100 %
Cumulative percent passing the 1/2 in. sieve 95 %
Cumulative percent passing the 3/8 in. sieve 81 %
Cumulative percent passing the #4 sieve 47 %
Cumulative percent passing the #8 sieve 17 %
Cumulative percent passing the #16 sieve 10 %
Cumulative percent passing the #30 sieve 7 %
Cumulative percent passing the #50 sieve 5 %
Cumulative percent passing the #100 sieve 3 %
Cumulative percent passing the #200 sieve 2.5 %

Test 2 of 3

DIME Test ID: 2024-10-10-67-2
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: 11/06/2024
Date Tested: 10/11/2024
Submitted By Organization: CT D04 - Hayward Field Laboratory
Organization Address: 21339 Cabot Boulevard,
Organization City: Hayward
Organization State: CA
Organization Zipcode: 94545
Organization Email: pamela.brown@dot.ca.gov
Organization Phone: (510) 385-8258
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Sand Equivalent 71

Test 3 of 3

DIME Test ID: 2024-10-10-67-3
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: 12/09/2024
Date Tested: 10/11/2024
Submitted By Organization: CT D04 - Hayward Field Laboratory
Organization Address: 21339 Cabot Boulevard,
Organization City: Hayward
Organization State: CA
Organization Zipcode: 94545
Organization Email: pamela.brown@dot.ca.gov
Organization Phone: (510) 385-8258
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Sand Equivalent 71