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Sample Record for 2025-07-15-58

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

Project Information

Project ID: 1000681 DEA: 081J7204 EFIS: 0818000099 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-40-S0.0/S0.8,0.0/R15.0
Work Description: REPLACE AC SURFACING, COLD PLANE AC PAVEMENT, HMA, RSP, AND MGS.
Location Description: SAN BERNARDINO COUNTY IN AND NEAR BARSTOW FROM 0.1 MILE WEST OF ROBERTA STREET TO MONTARA ROAD AND FROM ROUTE 15 TO 0.4 MILE EAST OF LAVA WASH BRIDGE
Contractor Name: SULLY-MILLER CONTRACTING COMPANY
Contractor Address: Unknown
Resident Engineer: Khoa Nguyen Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2025-07-15-58
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Barstow Field Laboratory 1
Sample Organization Contact: (760) 252-9216
Type of Sample: Acceptance
Type of Material: Aggregate
Sample Taken Date: 07/15/2025
Date that the sample was received by the laboratory/organization performing the testing: 07/15/2025
The quantity of what the sample constitutes: 1 bag combined aggregate
A brief description of the sample: HMA
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Blue Diamond-Victorville

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-36-0022
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: At the plant
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number: 300072 LSM
Lot number:
Sublot number:
Aggregate Mix Number:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2025-07-15-58-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 07/18/2025
Date Tested: 07/16/2025
Submitted By Organization: CT D08 - Barstow Field Laboratory 1
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: kaushalkumar.talati@dot.ca.gov
Organization Phone: (951) 840-8328
General Comments for this Test:
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 97 %
Cumulative percent passing the 1/2 in. sieve 80 %
Cumulative percent passing the 3/8 in. sieve 66 %
Cumulative percent passing the #4 sieve 30 %
Cumulative percent passing the #8 sieve 16 %
Cumulative percent passing the #16 sieve 11 %
Cumulative percent passing the #30 sieve 8 %
Cumulative percent passing the #50 sieve 5 %
Cumulative percent passing the #100 sieve 4 %
Cumulative percent passing the #200 sieve 2.4 %

Test 2 of 2

DIME Test ID: 2025-07-15-58-2
Test Method: AASHTO T255-0: Standard Method of Test for Total Evaporable Moisture Content of Aggregate by Drying
Verified Date: 07/18/2025
Date Tested: 07/16/2025
Submitted By Organization: CT D08 - Barstow Field Laboratory 1
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: kaushalkumar.talati@dot.ca.gov
Organization Phone: (951) 840-8328
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Total evaporable moisture content 1.8 %