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Sample Record for 2025-06-02-55

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

Project Information

Project ID: 212470 DEA: 044A1304 EFIS: 0400001106 COOP: 042718 QA Service Level: 1
DIST-CO-RTE-PM: 04-SON-101-18.5/18.5
Work Description: CONSISTS OF MODIFICATION AND RECONSTRUCTION OF THE EXISTING US 101/HEARN AVENUE INTERCHANGE IN SONOMA COUNTY, INCLUDING REPLACING THE EXISTING TWO-LANE HEARN AVENUE OVERCROSSING WITH A NEW OVERCROSSING, AND MODIFYING THE SOUTHBOUND OFF-RAMP IN CITY
Location Description: IN SONOMA COUNTY.
Contractor Name: Ghilotti Construction Company, Inc. (Chase McPhaul)
Contractor Address: 246 Ghilotti Avenue, Santa Rosa, CA 95407
Resident Engineer: Seyed "Syd" Valeh Structure Rep.: Anthony "Tony" Tierra; Sardar Chalabe

Sample Information

DIME Sample ID: 2025-06-02-55
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - Petaluma Field Laboratory
Sample Organization Contact: (510) 385-6841
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 06/02/2025
Date that the sample was received by the laboratory/organization performing the testing: 06/02/2025
The quantity of what the sample constitutes: 750 Tons
A brief description of the sample: 3/4" HMA-WMA
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: BoDean Company

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-49-0032
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: Batch Plant Hot Bins
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: 1
Aggregate Mix Number: 700SPW
Test results on following page(s): 3

Test Results

Test 1 of 3

DIME Test ID: 2025-06-02-55-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 06/11/2025
Date Tested: 06/03/2025
Submitted By Organization: CT D04 - Petaluma Field Laboratory
Organization Address: 5675 Gibraltar Drive,
Organization City: Pleasanton
Organization State: CA
Organization Zipcode: 94588
Organization Email: glenn.cea@dot.ca.gov
Organization Phone: (510) 385-6841
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 99 %
Cumulative percent passing the 1/2 in. sieve 85 %
Cumulative percent passing the 3/8 in. sieve 75 %
Cumulative percent passing the #4 sieve 45 %
Cumulative percent passing the #8 sieve 28 %
Cumulative percent passing the #16 sieve 16 %
Cumulative percent passing the #30 sieve 12 %
Cumulative percent passing the #50 sieve 8 %
Cumulative percent passing the #100 sieve 5 %
Cumulative percent passing the #200 sieve 2.8 %

Test 2 of 3

DIME Test ID: 2025-06-02-55-2
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: 06/11/2025
Date Tested: 06/03/2025
Submitted By Organization: CT D04 - Petaluma Field Laboratory
Organization Address: 5675 Gibraltar Drive,
Organization City: Pleasanton
Organization State: CA
Organization Zipcode: 94588
Organization Email: glenn.cea@dot.ca.gov
Organization Phone: (510) 385-6841
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Sand Equivalent 60

Test 3 of 3

DIME Test ID: 2025-06-02-55-3
Test Method: AASHTO T30-19: Standard Method of Test for Mechanical Analysis of Extracted Aggregate (Mechanical Analysis)
Verified Date: 06/11/2025
Date Tested: 06/03/2025
Submitted By Organization: CT D04 - Petaluma Field Laboratory
Organization Address: 5675 Gibraltar Drive,
Organization City: Pleasanton
Organization State: CA
Organization Zipcode: 94588
Organization Email: glenn.cea@dot.ca.gov
Organization Phone: (510) 385-6841
General Comments for this Test:
Test Result Compliance: not applicable
Additional Comments When Verified:
Is an aggregate correction factor used? Yes
Cumulative percent passing the 2 in. sieve 1000 %
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 98 %
Cumulative percent passing the 3/8 in. sieve 90 %
Cumulative percent passing the #4 sieve 69 %
Cumulative percent passing the #8 sieve 50 %
Cumulative percent passing the #16 sieve 35 %
Cumulative percent passing the #30 sieve 25 %
Cumulative percent passing the #50 sieve 17 %
Cumulative percent passing the #100 sieve 12 %
Cumulative percent passing the #200 sieve 8 %