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: 2025-06-07-5

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: 06/07/2025

Date that the sample was received by the laboratory/organization performing the testing: 06/10/2025

The quantity of what the sample constitutes: 750 Tons

A brief description of the sample: 3/4" RHMA-G-WMA

From where was the sample collected: Manufacturer

Laboratory sample identification:

Structure unique identifier:

Structure name:

The fabricator/manufacturer/facility name: Dutra Richmond

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-21-0008

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: 3

Aggregate Mix Number: 700SPW

Test Results

Test 1 of 2

DIME Test ID: 2025-06-07-5-1

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

Verified Date: 06/17/2025

Date Tested: 06/10/2025

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	100 %
Cumulative percent passing the 1/2 in. sieve	86 %
Cumulative percent passing the 3/8 in. sieve	74 %
Cumulative percent passing the #4 sieve	44 %
Cumulative percent passing the #8 sieve	30 %
Cumulative percent passing the #16 sieve	19 %
Cumulative percent passing the #30 sieve	12 %
Cumulative percent passing the #50 sieve	6 %
Cumulative percent passing the #100 sieve	4 %
Cumulative percent passing the #200 sieve	2.3 %

Test 2 of 2

DIME Test ID: 2025-06-07-5-2

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)