Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994084 DEA: 060U8804 EFIS: 0616000074
QA Service Level: 1
DIST-CO-RTE-PM: 06-TUL-99-26.3/27.6
Work Description: CONSTRUCT A NEW INTERCHANGE AT COMMERCIAL AVENUE NOW CALLED INTERNATIONAL AGRI-CENTER WAY
Location Description: ON STATE ROUTE 99
Contractor Name: SECURITY PAVING COMPANY INC
Contractor Address: 13170 TELEFAIR AVE, SYLMAR, CA 91342
Resident Engineer: Alberto Lopez Structure Rep.: Vicente Sanchez
DIME Sample ID: 2025-03-26-66
TL Number from the TL Form:
Sample Submitted By Organization: CT D06 - Visalia Field Laboratory
Sample Organization Contact: (559) 974-1304
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 03/26/2025
Date that the sample was received by the laboratory/organization performing the testing: 03/26/2025
The quantity of what the sample constitutes: 10 Box, 2 Bag, 2 Can
A brief description of the sample: 3/4 HMA Type A
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Martin Marietta - Visalia
Source Identification (SMARA, name of Pit or Job Site): 91-54-0038
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: HMA Plant Cold Feed
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: 1
Sublot number: 44
Aggregate Mix Number:
DIME Test ID: 2025-03-26-66-1
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: 04/21/2025
Date Tested: 03/26/2025
Submitted By Organization: CT D06 - Visalia Field Laboratory
Organization Address: 8530 W Roosevelt Ave,
Organization City: Visalia
Organization State: CA
Organization Zipcode: 93291
Organization Email: paul.klinker@dot.ca.gov
Organization Phone: (559) 974-1304
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
DIME Test ID: 2025-03-26-66-2
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 04/21/2025
Date Tested: 03/26/2025
Submitted By Organization: CT D06 - Visalia Field Laboratory
Organization Address: 8530 W Roosevelt Ave,
Organization City: Visalia
Organization State: CA
Organization Zipcode: 93291
Organization Email: paul.klinker@dot.ca.gov
Organization Phone: (559) 974-1304
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
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What type of gradation is being tested?
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HMA Gradation
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Cumulative percent passing the 2 in. sieve
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no data
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Cumulative percent passing the 1 1/2 in. sieve
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100 %
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Cumulative percent passing the 1 in. sieve
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100 %
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Cumulative percent passing the 3/4 in. sieve
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99 %
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Cumulative percent passing the 1/2 in. sieve
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92 %
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Cumulative percent passing the 3/8 in. sieve
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76 %
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Cumulative percent passing the #4 sieve
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48 %
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Cumulative percent passing the #8 sieve
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33 %
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Cumulative percent passing the #16 sieve
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22 %
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Cumulative percent passing the #30 sieve
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15 %
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Cumulative percent passing the #50 sieve
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10 %
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Cumulative percent passing the #100 sieve
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7 %
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Cumulative percent passing the #200 sieve
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6 %
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DIME Test ID: 2025-03-26-66-3
Test Method: AASHTO T11-5: Standard Method of Test for Materials Finer Than 75-μm (No. 200) Sieve in Mineral Aggregates by Washing
Verified Date: 04/21/2025
Date Tested: 03/26/2025
Submitted By Organization: CT D06 - Visalia Field Laboratory
Organization Address: 8530 W Roosevelt Ave,
Organization City: Visalia
Organization State: CA
Organization Zipcode: 93291
Organization Email: paul.klinker@dot.ca.gov
Organization Phone: (559) 974-1304
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
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Which test procedure is being used
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Method A
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Percent of sample passing the #200 sieve (by mass)
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10.6 %
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