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Sample Record for 2025-09-02-79

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

Project Information

Project ID: 1000606 DEA: 081J3004 EFIS: 0818000016 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-18-90.9/R96.6
Work Description: HMA (TYPE A), MOD SIGNAL & LTG SYSTEMS, & COLD PLANE AC PVMT.
Location Description: SAN BERNARDINO COUNTY IN AND NEAR VICTORVILLE FROM APPLE VALLEY INN ROAD TO ROUTE 15/18 SEPARATION
Contractor Name: SULLY-MILLER CONTRACTING COMPANY
Contractor Address: 135 S STATE COLLEGE BLVD #400, BREA CA 92821
Resident Engineer: Alfonso Gonzalez Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2025-09-02-79
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: 09/02/2025
Date that the sample was received by the laboratory/organization performing the testing: 09/03/2025
The quantity of what the sample constitutes: 1 Bag of Combined Aggregate
A brief description of the sample: 3/4" HMA-A R25
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Ingevity, World Oil, Cal Portland Scheer Quarry, Agcon Inc

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-36-0046, 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: Belt Cut at Blue Diamond Victorville Plant
Where the material sample would have been placed if not sampled: Asphalt Paving
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number: 300154 R25
Lot number:
Sublot number:
Aggregate Mix Number:
Test results on following page(s): 4

Test Results

Test 1 of 4

DIME Test ID: 2025-09-02-79-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Submitted By Organization: CT D08 - Barstow Field Laboratory 1
Organization Address: 1800 Dill Road,
Organization City: Barstow
Organization State: CA
Organization Zipcode: 92311
Organization Email: D8barstowlab@dot.ca.gov
Organization Phone: (760) 252-9216
This test has been superseded on 09/09/2025. The corrected test ID is: 2025-09-02-79-4
Reason: corrected

Test 2 of 4

DIME Test ID: 2025-09-02-79-2
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: 09/09/2025
Date Tested: 09/03/2025
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:
Sand Equivalent 85

Test 3 of 4

DIME Test ID: 2025-09-02-79-3
Test Method: AASHTO T255-0: Standard Method of Test for Total Evaporable Moisture Content of Aggregate by Drying
Verified Date: 09/09/2025
Date Tested: 09/03/2025
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:
Total evaporable moisture content 1.4 %

Test 4 of 4

DIME Test ID: 2025-09-02-79-4
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 09/09/2025
Date Tested: 09/03/2025
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: 3/4" Combined Aggregates
The test was superseded from test ID: 2025-09-02-79-1
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 86 %
Cumulative percent passing the 3/8 in. sieve 72 %
Cumulative percent passing the #4 sieve 56 %
Cumulative percent passing the #8 sieve 44 %
Cumulative percent passing the #16 sieve 32 %
Cumulative percent passing the #30 sieve 20 %
Cumulative percent passing the #50 sieve 11 %
Cumulative percent passing the #100 sieve 5 %
Cumulative percent passing the #200 sieve 2.9 %