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Sample Record for 2025-09-19-58

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

Project Information

Project ID: 1000852 DEA: 112N1974 EFIS: 1123000094 QA Service Level: 1
DIST-CO-RTE-PM: 11-IMP-111-23.5/32.1
Work Description: COLD PLANE, HMA-A, RHMA-G, MICROSURFACING, & PAVEMENT MARKINGS.
Location Description: IMPERIAL COUNTY NEAR BRAWLEY AND CALIPATRIA AT VARIOUS LOCATIONS FROM 0.2 MILE SOUTH OF ROUTE 78 TO 0.4 MILE SOUTH OF ROUTE 115
Contractor Name: HAZARD CONSRUCTION ENGR,LLC
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2025-09-19-58
TL Number from the TL Form:
Sample Submitted By Organization: CT D11 - District 11 Materials Laboratory
Sample Organization Contact: (858) 518-8709
Type of Sample: Per Request
Type of Material: Aggregate
Sample Taken Date: 09/19/2025
Date that the sample was received by the laboratory/organization performing the testing: 09/26/2025
The quantity of what the sample constitutes: 5 bags
A brief description of the sample: Plant Sample
From where was the sample collected: Supplier
Laboratory sample identification: 25-09-19-58-A
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: API Gateway

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-13-0057
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: Plant
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 1/2 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number: 1 API Val

Test Results

Test 1 of 6

DIME Test ID: 2025-09-19-58-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 11/04/2025
Date Tested: 11/04/2025
Submitted By Organization: CT D11 - District 11 Materials Laboratory
Organization Address: 4050 Taylor Street,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92110
Organization Email: benjamin.haney@dot.ca.gov
Organization Phone: (858) 688-1595
General Comments for this Test:
Test Result Compliance: does not comply
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 100 %
Cumulative percent passing the 1/2 in. sieve 77 %
Cumulative percent passing the 3/8 in. sieve 22 %
Cumulative percent passing the #4 sieve no data0 %
Cumulative percent passing the #8 sieve no data0 %
Cumulative percent passing the #16 sieve no data0 %
Cumulative percent passing the #30 sieve no data0 %
Cumulative percent passing the #50 sieve no data0 %
Cumulative percent passing the #100 sieve no data0 %
Cumulative percent passing the #200 sieve no data0 %

Test 2 of 6

DIME Test ID: 2025-09-19-58-2
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 11/04/2025
Date Tested: 11/04/2025
Submitted By Organization: CT D11 - District 11 Materials Laboratory
Organization Address: 4050 Taylor Street,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92110
Organization Email: benjamin.haney@dot.ca.gov
Organization Phone: (858) 688-1595
General Comments for this Test:
Test Result Compliance: does not comply
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 100 %
Cumulative percent passing the 1/2 in. sieve 100 %
Cumulative percent passing the 3/8 in. sieve 93 %
Cumulative percent passing the #4 sieve 3 %
Cumulative percent passing the #8 sieve no data0 %
Cumulative percent passing the #16 sieve no data0 %
Cumulative percent passing the #30 sieve no data0 %
Cumulative percent passing the #50 sieve no data0 %
Cumulative percent passing the #100 sieve no data0 %
Cumulative percent passing the #200 sieve 0.1 %

Test 3 of 6

DIME Test ID: 2025-09-19-58-3
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 11/04/2025
Date Tested: 11/04/2025
Submitted By Organization: CT D11 - District 11 Materials Laboratory
Organization Address: 4050 Taylor Street,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92110
Organization Email: benjamin.haney@dot.ca.gov
Organization Phone: (858) 688-1595
General Comments for this Test:
Test Result Compliance: does not comply
Additional Comments When Verified:
What type of gradation is being tested? Fine Aggregate
Total mass of sample tested 447 grams
Cumulative percent passing the 3/8 in. sieve 100 %
Cumulative percent passing the #4 sieve 100 %
Cumulative percent passing the #8 sieve 5 %
Cumulative percent passing the #16 sieve 1 %
Cumulative percent passing the #30 sieve 1 %
Cumulative percent passing the #50 sieve 1 %
Cumulative percent passing the #100 sieve 1 %
Cumulative percent passing the #200 sieve 0.5 %

Test 4 of 6

DIME Test ID: 2025-09-19-58-4
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 11/04/2025
Date Tested: 11/04/2025
Submitted By Organization: CT D11 - District 11 Materials Laboratory
Organization Address: 4050 Taylor Street,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92110
Organization Email: benjamin.haney@dot.ca.gov
Organization Phone: (858) 688-1595
General Comments for this Test:
Test Result Compliance: does not comply
Additional Comments When Verified:
What type of gradation is being tested? Fine Aggregate
Total mass of sample tested 495 grams
Cumulative percent passing the 3/8 in. sieve 100 %
Cumulative percent passing the #4 sieve 100 %
Cumulative percent passing the #8 sieve 90 %
Cumulative percent passing the #16 sieve 68 %
Cumulative percent passing the #30 sieve 52 %
Cumulative percent passing the #50 sieve 36 %
Cumulative percent passing the #100 sieve 22 %
Cumulative percent passing the #200 sieve 13.4 %

Test 5 of 6

DIME Test ID: 2025-09-19-58-5
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 11/04/2025
Date Tested: 11/04/2025
Submitted By Organization: CT D11 - District 11 Materials Laboratory
Organization Address: 4050 Taylor Street,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92110
Organization Email: benjamin.haney@dot.ca.gov
Organization Phone: (858) 688-1595
General Comments for this Test:
Test Result Compliance: does not comply
Additional Comments When Verified:
What type of gradation is being tested? Fine Aggregate
Total mass of sample tested 100 grams
Cumulative percent passing the 3/8 in. sieve 100 %
Cumulative percent passing the #4 sieve 100 %
Cumulative percent passing the #8 sieve 100 %
Cumulative percent passing the #16 sieve 100 %
Cumulative percent passing the #30 sieve 99 %
Cumulative percent passing the #50 sieve 94 %
Cumulative percent passing the #100 sieve 82 %
Cumulative percent passing the #200 sieve 72.1 %

Test 6 of 6

DIME Test ID: 2025-09-19-58-6
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: 11/04/2025
Date Tested: 10/22/2025
Submitted By Organization: CT D11 - District 11 Materials Laboratory
Organization Address: 4050 Taylor Street,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92110
Organization Email: benjamin.haney@dot.ca.gov
Organization Phone: (858) 688-1595
General Comments for this Test: Complies
Test Result Compliance: complies
Additional Comments When Verified:
Sand Equivalent 83