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Sample Record for 2025-04-05-27

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

Project Information

Project ID: 994588 DEA: 081H3904 EFIS: 0817000032 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-15-R20.5/R21.6,R25.5/R30.7
Work Description: CONSTRUCT BUILDING, ROADWAY EXC, JPCP, AND TEMPORARY BARRIER SYSTEM.
Location Description: SAN BERNARDINO COUNTY FROM 0.6 MILE NORTH OF CLEGHORN ROAD UNDERCROSSING TO 0.5 MILE SOUTH OF ROUTE 138 AND FROM 0.5 MILE SOUTH OF TRUCK SAFETY CHECK AREA TO 0.4 MILE NORTH OF OAK HILL ROAD OVERCROSSING
Contractor Name: POWELL CONSTRUCTORS INC
Contractor Address: 8555 BANANA AVE, FONTANA, CA 92335
Resident Engineer: Mauricio Santa Cruz Structure Rep.: Oluwatayo (Tayo) Ogeyemi

Sample Information

DIME Sample ID: 2025-04-05-27
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: 04/05/2025
Date that the sample was received by the laboratory/organization performing the testing: 04/07/2025
The quantity of what the sample constitutes: 2276.43 @ 12:52
A brief description of the sample: 3/4" HMA-A PG64-28M
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 Asphalt 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: 105927
Test results on following page(s): 3

Test Results

Test 1 of 3

DIME Test ID: 2025-04-05-27-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 05/05/2025
Date Tested: 04/08/2025
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 95 %
Cumulative percent passing the 1/2 in. sieve 81 %
Cumulative percent passing the 3/8 in. sieve 67 %
Cumulative percent passing the #4 sieve 37 %
Cumulative percent passing the #8 sieve 25 %
Cumulative percent passing the #16 sieve 18 %
Cumulative percent passing the #30 sieve 12 %
Cumulative percent passing the #50 sieve 7 %
Cumulative percent passing the #100 sieve 4 %
Cumulative percent passing the #200 sieve 3.1 %

Test 2 of 3

DIME Test ID: 2025-04-05-27-2
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)
Verified Date: 05/05/2025
Date Tested: 04/08/2025
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 72

Test 3 of 3

DIME Test ID: 2025-04-05-27-3
Test Method: AASHTO T255-0: Standard Method of Test for Total Evaporable Moisture Content of Aggregate by Drying
Verified Date: 05/05/2025
Date Tested: 04/08/2025
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 2.5 %