Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1001850 DEA: 081T3304 EFIS: 0826000040
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-38-
Work Description:
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown
DIME Sample ID: 2025-12-20-7
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Sample Organization Contact: 9512323690
Type of Sample: Acceptance
Type of Material: Aggregate
Sample Taken Date: 12/20/2025
Date that the sample was received by the laboratory/organization performing the testing: 12/22/2025
The quantity of what the sample constitutes: 824.95 Tons @ 10:55am
A brief description of the sample: HMA-A SP 3/4" PG58-22 (Virgin) : PG64-10 (Spec)
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Matich Corporation — Lytle Creek Plant
Source Identification (SMARA, name of Pit or Job Site): 91-36-0040
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 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:
Sublot number:
Aggregate Mix Number: B6Z
DIME Test ID: 2025-12-20-7-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 01/06/2026
Date Tested: 12/22/2025
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
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What type of gradation is being tested?
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HMA Gradation
|
|
Cumulative percent passing the 2 in. sieve
|
100 %
|
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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
|
98 %
|
|
Cumulative percent passing the 1/2 in. sieve
|
76 %
|
|
Cumulative percent passing the 3/8 in. sieve
|
61 %
|
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Cumulative percent passing the #4 sieve
|
42 %
|
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Cumulative percent passing the #8 sieve
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32 %
|
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Cumulative percent passing the #16 sieve
|
24 %
|
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Cumulative percent passing the #30 sieve
|
17 %
|
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Cumulative percent passing the #50 sieve
|
11 %
|
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Cumulative percent passing the #100 sieve
|
7 %
|
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Cumulative percent passing the #200 sieve
|
4.5 %
|
DIME Test ID: 2025-12-20-7-2
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: 01/06/2026
Date Tested: 12/22/2025
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
DIME Test ID: 2025-12-20-7-3
Test Method: AASHTO T255-0: Standard Method of Test for Total Evaporable Moisture Content of Aggregate by Drying
Verified Date: 01/06/2026
Date Tested: 12/22/2025
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
|
Total evaporable moisture content
|
2.2 %
|
