Project Information

Project ID: 1001159 DEA: 043X2804 EFIS: 0425000226 QA Service Level: 1

DIST-CO-RTE-PM: 04-NAP-121-

Work Description: Apply traffic control systems, perform digout, install earth retaining structures

Location Description:

Contractor Name: VALENTINE CORPORATION

Contractor Address: 111 PELICAN WAY, SAN RAFAEL, CA 94901

Resident Engineer: Paramdeep Brar Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2025-06-12-105

TL Number from the TL Form:

Sample Submitted By Organization: CT D04 - Concord Field Laboratory

Sample Organization Contact: (510) 714-7019

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: 06/16/2025

The quantity of what the sample constitutes: 100Tons

A brief description of the sample: 3/4"HMA-SP-R25

From where was the sample collected: Manufacturer

Laboratory sample identification:

Structure unique identifier:

Structure name:

The fabricator/manufacturer/facility name: Vulcan Napa

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-49-0004

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:

Lot number: 1

Sublot number: 1

Aggregate Mix Number:

Test Results

Test 1 of 2

DIME Test ID: 2025-06-12-105-1

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

Verified Date: 07/21/2025

Date Tested: 06/16/2025

Submitted By Organization: CT D04 - Concord Field Laboratory

Organization Address: 2525 Stanwell Drive, Suite 100,

Organization City: Concord

Organization State: CA

Organization Zipcode: 94520

Organization Email: gurind.joshi@dot.ca.gov

Organization Phone: (510) 714-7019

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	no data0 %
Cumulative percent passing the 1 in. sieve	100 %
Cumulative percent passing the 3/4 in. sieve	98 %
Cumulative percent passing the 1/2 in. sieve	80 %
Cumulative percent passing the 3/8 in. sieve	70 %
Cumulative percent passing the #4 sieve	48 %
Cumulative percent passing the #8 sieve	34 %
Cumulative percent passing the #16 sieve	no data0 %
Cumulative percent passing the #30 sieve	16 %
Cumulative percent passing the #50 sieve	no data0 %
Cumulative percent passing the #100 sieve	no data0 %
Cumulative percent passing the #200 sieve	5.5 %

Test 2 of 2

DIME Test ID: 2025-06-12-105-2

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)