Project Information

Project ID: 1001055 DEA: 112N1684 EFIS: 1122000281 QA Service Level: 1

DIST-CO-RTE-PM: 11-SD-5-R53.9/R63.7

Work Description: POLYESTER CONCRETE, METHACRYLATE, JOINT SEALS AND APPROACH SLABS.

Location Description: SAN DIEGO COUNTY AT VARIOUS LOCATIONS FROM ROUTE 5/76 SEPARATION TO AGRA OVERHEAD

Contractor Name: MCCUEN CONSTRUCTION, INC.

Contractor Address: Unknown

Resident Engineer: Alex Balce Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2025-09-24-77

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: Quality Assurance

Type of Material: Aggregate

Sample Taken Date: 09/24/2025

Date that the sample was received by the laboratory/organization performing the testing: 09/26/2025

The quantity of what the sample constitutes: 2 bags

A brief description of the sample: Normal Production

From where was the sample collected: Supplier

Laboratory sample identification: 25-09-24-77-A

Structure unique identifier:

Structure name:

The fabricator/manufacturer/facility name: Vulcan Otay

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-37-0035

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: 320200 Otay Val

Test Results

Test 1 of 2

DIME Test ID: 2025-09-24-77-1

Test Method: AASHTO T30-19: Standard Method of Test for Mechanical Analysis of Extracted Aggregate (Mechanical Analysis)

Verified Date: 11/05/2025

Date Tested: 11/03/2025

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:

Is an aggregate correction factor used?	No
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	95 %
Cumulative percent passing the 3/8 in. sieve	87 %
Cumulative percent passing the #4 sieve	61 %
Cumulative percent passing the #8 sieve	46 %
Cumulative percent passing the #16 sieve	34 %
Cumulative percent passing the #30 sieve	23 %
Cumulative percent passing the #50 sieve	14 %
Cumulative percent passing the #100 sieve	8 %
Cumulative percent passing the #200 sieve	5.6 %

Test 2 of 2

DIME Test ID: 2025-09-24-77-2

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)