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Sample Record for 2025-07-08-80

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

Project Information

Project ID: 995174 DEA: 043W5604 EFIS: 0421000388 QA Service Level: 1
DIST-CO-RTE-PM: 04-SOL-12,80,680-Var
Work Description: POLYESTER CONCRETE OVERLAY.
Location Description: SOLANO COUNTY AT VARIOUS LOCATIONS
Contractor Name: MYERS & SONS CONSTRUCTION, LLC
Contractor Address: 45 Morrison ave, Sacramento, CA 95838
Resident Engineer: Justen Tatum Structure Rep.: Kambiz Kouchesfahani

Sample Information

DIME Sample ID: 2025-07-08-80
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - Hayward Field Laboratory
Sample Organization Contact: (510) 723-0168
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 07/08/2025
Date that the sample was received by the laboratory/organization performing the testing: 07/09/2025
The quantity of what the sample constitutes: 100Tons
A brief description of the sample: 3/4"HMA-R25-WMA
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Napa Plant

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: 18
Aggregate Mix Number:

Test Results

Test 1 of 2

DIME Test ID: 2025-07-08-80-3
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 08/14/2025
Date Tested: 07/14/2025
Submitted By Organization: CT D04 - Hayward Field Laboratory
Organization Address: 21339 Cabot Boulevard,
Organization City: Hayward
Organization State: CA
Organization Zipcode: 94545
Organization Email: pamela.brown@dot.ca.gov
Organization Phone: (510) 385-8258
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 100 %
Cumulative percent passing the 3/8 in. sieve 98 %
Cumulative percent passing the #4 sieve 68 %
Cumulative percent passing the #8 sieve 50 %
Cumulative percent passing the #16 sieve 44 %
Cumulative percent passing the #30 sieve 27 %
Cumulative percent passing the #50 sieve 19 %
Cumulative percent passing the #100 sieve 12 %
Cumulative percent passing the #200 sieve 8.3 %

Test 2 of 2

DIME Test ID: 2025-07-08-80-4
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: 08/14/2025
Date Tested: 07/24/2025
Submitted By Organization: CT D04 - Hayward Field Laboratory
Organization Address: 21339 Cabot Boulevard,
Organization City: Hayward
Organization State: CA
Organization Zipcode: 94545
Organization Email: pamela.brown@dot.ca.gov
Organization Phone: (510) 385-8258
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Sand Equivalent 62

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
2025-07-08-80-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)08/14/2025Not scheduledSunil ChampaneriaCT D04 - Hayward Field Laboratory
2025-07-08-80-2AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent)08/14/2025Not scheduledSunil ChampaneriaCT D04 - Hayward Field Laboratory