Project Information

Project ID: 1000286 DEA: 070W7004 EFIS: 0723000032 QA Service Level: 1

DIST-CO-RTE-PM: 07-LA-405-44.7/48.64

Work Description: INDIVIDUAL SLAB REPLACEMENT (RSC), & GRIND EXIST CONC PAVEMENT.

Location Description: LOS ANGELES COUNTY IN LOS ANGELES FROM NORDHOFF STREET UNDERCROSSING TO ROUTE 5/405 SEPARATION

Contractor Name: Interstate Civil Construction

Contractor Address: PO Box 2819, Wrightwood, CA 92397

Resident Engineer: ALI MOHSENZADEH Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2025-03-25-29

TL Number from the TL Form:

Sample Submitted By Organization: CT D07 - Plant Services

Sample Organization Contact: 562-345-3126

Type of Sample: Acceptance

Type of Material: Aggregate

Sample Taken Date: 03/25/2025

Date that the sample was received by the laboratory/organization performing the testing: 03/27/2025

The quantity of what the sample constitutes: 1 bag coldfeed

A brief description of the sample: 3/4" Cold feed Aggregate

From where was the sample collected: Manufacturer

Laboratory sample identification:

Structure unique identifier:

Structure name:

The fabricator/manufacturer/facility name: Vulcan Materials Company Irwindale

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-19-0035

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: Conveyor Belt

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:

Test Results

Test 1 of 2

DIME Test ID: 2025-03-25-29-1

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

Verified Date: 04/11/2025

Date Tested: 03/27/2025

Submitted By Organization: CT D07 - Plant Services

Organization Address: 13230 East Firestone Boulevard, Suite G,

Organization City: Santa Fe Springs

Organization State: CA

Organization Zipcode: 90670

Organization Email: victor.zengler@dot.ca.gov

Organization Phone: (562) 345-3126

General Comments for this Test:

Test Result Compliance: complies

Additional Comments When Verified:

What type of gradation is being tested?	Combined Gradation
Cumulative percent passing the 2 in. sieve	100 %
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	84 %
Cumulative percent passing the 3/8 in. sieve	67 %
Cumulative percent passing the #4 sieve	34 %
Cumulative percent passing the #8 sieve	24 %
Cumulative percent passing the #16 sieve	17 %
Cumulative percent passing the #30 sieve	11 %
Cumulative percent passing the #50 sieve	6 %
Cumulative percent passing the #100 sieve	4 %
Cumulative percent passing the #200 sieve	2.9 %

Test 2 of 2

DIME Test ID: 2025-03-25-29-2

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)