Project Information

Project ID: 995262 DEA: 041Q4604 EFIS: 0418000279 QA Service Level: 1

DIST-CO-RTE-PM: 04-SCL-280-0/2.7

Work Description: RHMA-G SURFACING AND CONSTRUCT BRIDGE APPROACH.

Location Description: SANTA CLARA COUNTY IN SAN JOSE FROM ROUTE 280/680/101 SEPARATION TO 0.2 MILE WEST OF BIRD AVENUE OVERCROSSING

Contractor Name: O.C. JONES & SONS, INC.

Contractor Address: 1520 4th Street, Berkeley, CA 94710

Resident Engineer: Nim Patel Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2025-10-06-38

TL Number from the TL Form: SJ-100625-1

Sample Submitted By Organization: CT D04 - San Jose Construction Field Laboratory

Sample Organization Contact: (510) 385-8171

Type of Sample: Quality Assurance

Type of Material: Aggregate

Sample Taken Date: 10/06/2025

Date that the sample was received by the laboratory/organization performing the testing: 10/07/2025

The quantity of what the sample constitutes: 0-750 Tons

A brief description of the sample: 3/4" RHMA-G

From where was the sample collected: Source

Laboratory sample identification: SJ-100625-SA1

Structure unique identifier:

Structure name:

The fabricator/manufacturer/facility name: Martin Marietta Sunol Drum Plant

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-01-0011

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 Discharge Stream 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: 3

Sublot number: 12

Aggregate Mix Number: 63S4BV 25W1C 8967

Test Results

Test 1 of 2

DIME Test ID: 2025-10-06-38-1

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: 10/07/2025

Submitted By Organization: CT D04 - San Jose Construction Field Laboratory

Organization Address: 1007 Knox Avenue,

Organization City: San Jose

Organization State: CA

Organization Zipcode: 95122

Organization Email: fernando.vega@dot.ca.gov

Organization Phone: (510) 385-8171

General Comments for this Test: Lot 3 - Sublot 12

Test Result Compliance: complies

Additional Comments When Verified:

What type of gradation is being tested?	HMA 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	88 %
Cumulative percent passing the 3/8 in. sieve	72 %
Cumulative percent passing the #4 sieve	29 %
Cumulative percent passing the #8 sieve	17 %
Cumulative percent passing the #16 sieve	12 %
Cumulative percent passing the #30 sieve	9 %
Cumulative percent passing the #50 sieve	6 %
Cumulative percent passing the #100 sieve	4 %
Cumulative percent passing the #200 sieve	3.1 %

Test 2 of 2

DIME Test ID: 2025-10-06-38-2

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)