Project Information

Project ID: 995482 DEA: 112T36U4 EFIS: 1122000243 QA Service Level: 1

DIST-CO-RTE-PM: 11-SD-5-37.4-52.6

Work Description: I-5 NCC SEGMENT 4C

Location Description: I-5 in San Diego County at Various Locations from Lomas Santa Fe Drive Undercrossing to 0.2 Mile North of Oceanside Undercrossing

Contractor Name: Flatiron-Skanska-Stacy and Witbeck Joint Venture

Contractor Address: 1770 La Costa Meadows Drive, San Marcos, CA 92078

Resident Engineer: Yong Pak Structure Rep.: Phong Le

Sample Information

DIME Sample ID: 2025-06-12-98

TL Number from the TL Form:

Sample Submitted By Organization: CT D11 - District 11 Materials Laboratory

Sample Organization Contact: (858) 518-8709

Type of Sample: Quality Assurance

Type of Material: Aggregate

Sample Taken Date: 06/12/2025

Date that the sample was received by the laboratory/organization performing the testing: 06/19/2025

The quantity of what the sample constitutes: 1 bag

A brief description of the sample: Plant Sample

From where was the sample collected: Supplier

Laboratory sample identification: 25-06-12-98-A

Structure unique identifier:

Structure name:

The fabricator/manufacturer/facility name: Martin Marietta

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-37-0035

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: Plant

Where the material sample would have been placed if not sampled:

Primary Aggregate Nominal Size: 1/2 inch

The concrete mix design number:

Lot number:

Sublot number:

Aggregate Mix Number: 21218080SR MM

Test Results

Test 1 of 2

DIME Test ID: 2025-06-12-98-1

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

Verified Date: 07/16/2025

Date Tested: 07/14/2025

Submitted By Organization: CT D11 - District 11 Materials Laboratory

Organization Address: 4050 Taylor Street,

Organization City: San Diego

Organization State: CA

Organization Zipcode: 92110

Organization Email: benjamin.haney@dot.ca.gov

Organization Phone: (858) 688-1595

General Comments for this Test: Complies

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	100 %
Cumulative percent passing the 1/2 in. sieve	98 %
Cumulative percent passing the 3/8 in. sieve	84 %
Cumulative percent passing the #4 sieve	33 %
Cumulative percent passing the #8 sieve	25 %
Cumulative percent passing the #16 sieve	16 %
Cumulative percent passing the #30 sieve	10 %
Cumulative percent passing the #50 sieve	5 %
Cumulative percent passing the #100 sieve	3 %
Cumulative percent passing the #200 sieve	2.1 %

Test 2 of 2

DIME Test ID: 2025-06-12-98-2

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)