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Sample Record for 2025-07-22-32

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

Project Information

Project ID: 1000264 DEA: 060W90U4 EFIS: 0623000128 QA Service Level: 1
DIST-CO-RTE-PM: 06-TUL-198,216-R11.6/R11.9,R0.0/2.7
Work Description: HMA AND MODIFYING SIGNAL AND LIGHTING SYSTEMS.
Location Description: TULARE COUNTY IN AND NEAR VISALIA ON ROUTE 216 FROM 0.2 MILE SOUTH OF LOVERS LANE UNDERCROSSING TO 0.2 MILE EAST OF MCAULIFF STREET AND ON ROUTE 198 FROM 0.1 MILE WEST TO 0.2 MILE EAST OF LOVERS LANE UNDERCROSSING
Contractor Name: Teichert Construction (James Dunnington)
Contractor Address: 5771 Toyota Avenue, Fresno, CA 93725
Resident Engineer: Chris Wilfong Structure Rep.: Martin Garcia

Sample Information

DIME Sample ID: 2025-07-22-32
TL Number from the TL Form:
Sample Submitted By Organization: CT D06 - Visalia Field Laboratory
Sample Organization Contact: (559) 974-1304
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 07/22/2025
Date that the sample was received by the laboratory/organization performing the testing: 07/23/2025
The quantity of what the sample constitutes: 2 Bags Coldfeed
A brief description of the sample: RHMA-G
From where was the sample collected: Supplier
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Martin Marietta Goshen

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-54-0038
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: HMA Plant Conveyor Belt ASD
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: 2
Aggregate Mix Number:
Test results on following page(s): 3

Test Results

Test 1 of 3

DIME Test ID: 2025-07-22-32-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 07/24/2025
Date Tested: 07/23/2025
Submitted By Organization: CT D06 - Visalia Field Laboratory
Organization Address: 8530 W Roosevelt Ave,
Organization City: Visalia
Organization State: CA
Organization Zipcode: 93291
Organization Email: paul.klinker@dot.ca.gov
Organization Phone: (559) 974-1304
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 87 %
Cumulative percent passing the 3/8 in. sieve 66 %
Cumulative percent passing the #4 sieve 30 %
Cumulative percent passing the #8 sieve 21 %
Cumulative percent passing the #16 sieve 13 %
Cumulative percent passing the #30 sieve 8 %
Cumulative percent passing the #50 sieve 5 %
Cumulative percent passing the #100 sieve 3 %
Cumulative percent passing the #200 sieve 3 %

Test 2 of 3

DIME Test ID: 2025-07-22-32-2
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: 07/24/2025
Date Tested: 07/23/2025
Submitted By Organization: CT D06 - Visalia Field Laboratory
Organization Address: 8530 W Roosevelt Ave,
Organization City: Visalia
Organization State: CA
Organization Zipcode: 93291
Organization Email: paul.klinker@dot.ca.gov
Organization Phone: (559) 974-1304
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Sand Equivalent 59

Test 3 of 3

DIME Test ID: 2025-07-22-32-3
Test Method: AASHTO T11-5: Standard Method of Test for Materials Finer Than 75-μm (No. 200) Sieve in Mineral Aggregates by Washing
Verified Date: 07/24/2025
Date Tested: 07/23/2025
Submitted By Organization: CT D06 - Visalia Field Laboratory
Organization Address: 8530 W Roosevelt Ave,
Organization City: Visalia
Organization State: CA
Organization Zipcode: 93291
Organization Email: paul.klinker@dot.ca.gov
Organization Phone: (559) 974-1304
General Comments for this Test:
Test Result Compliance: not applicable
Additional Comments When Verified:
Which test procedure is being used Method A
Percent of sample passing the #200 sieve (by mass) 8.5 %