Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
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
DIME Sample ID: 2025-10-09-24
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: 10/09/2025
Date that the sample was received by the laboratory/organization performing the testing: 10/10/2025
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
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:
DIME Test ID: 2025-10-09-24-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 10/10/2025
Date Tested: 10/10/2025
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
|
99 %
|
|
Cumulative percent passing the 1/2 in. sieve
|
85 %
|
|
Cumulative percent passing the 3/8 in. sieve
|
71 %
|
|
Cumulative percent passing the #4 sieve
|
50 %
|
|
Cumulative percent passing the #8 sieve
|
39 %
|
|
Cumulative percent passing the #16 sieve
|
30 %
|
|
Cumulative percent passing the #30 sieve
|
19 %
|
|
Cumulative percent passing the #50 sieve
|
12 %
|
|
Cumulative percent passing the #100 sieve
|
6 %
|
|
Cumulative percent passing the #200 sieve
|
3.4 %
|
DIME Test ID: 2025-10-09-24-2
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: 10/10/2025
Date Tested: 10/10/2025
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:
DIME Test ID: 2025-10-09-24-3
Test Method: AASHTO T255-0: Standard Method of Test for Total Evaporable Moisture Content of Aggregate by Drying
Verified Date: 10/10/2025
Date Tested: 10/10/2025
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
|
3.7 %
|
