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Sample Record for 2025-12-17-35

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Project Information

Project ID: 993595 DEA: 042Q5504 EFIS: 0419000024 QA Service Level: 1
DIST-CO-RTE-PM: 04-SOL-12-7.9/14.1
Work Description: RHMA OVERLAY, REPLACE CULVERTS, BRIDGE RAILS, AND MEDIAN BARRIERS.
Location Description: SOLANO COUNTY NEAR SUISUN CITY FROM 0.2 MILE EAST OF LAWLER RANCH PARKWAY TO 0.5 MILE EAST OF SHILOH ROAD
Contractor Name: BAY CITIES PAVING & GRADING, INC.
Contractor Address: 1450 Civic Court B#400, Concord, CA 94520
Resident Engineer: Asadullah Sarwary Structure Rep.: Kambiz Kouchesfahani

Sample Information

DIME Sample ID: 2025-12-17-35
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - Concord Field Laboratory
Sample Organization Contact: (510) 714-7019
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 12/17/2025
Date that the sample was received by the laboratory/organization performing the testing: 12/18/2025
The quantity of what the sample constitutes: PSUE
A brief description of the sample: 3/4" hma-wma
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Teichert Woodland Batch Plant

Material Information

Source Identification (SMARA, name of Pit or Job Site): Teichert Woodland
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: Batch Plant Hot Bins
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: 2
Sublot number: 11
Aggregate Mix Number:
Test results on following page(s): 3

Test Results

Test 1 of 3

DIME Test ID: 2025-12-17-35-1
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: 12/19/2025
Submitted By Organization: CT D04 - Concord Field Laboratory
Organization Address: 2525 Stanwell Drive, Suite 100,
Organization City: Concord
Organization State: CA
Organization Zipcode: 94520
Organization Email: gurind.joshi@dot.ca.gov
Organization Phone: (510) 714-7019
General Comments for this Test:
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 100 %
Cumulative percent passing the 1/2 in. sieve 87 %
Cumulative percent passing the 3/8 in. sieve 70 %
Cumulative percent passing the #4 sieve 43 %
Cumulative percent passing the #8 sieve 26 %
Cumulative percent passing the #16 sieve 17 %
Cumulative percent passing the #30 sieve 12 %
Cumulative percent passing the #50 sieve 8 %
Cumulative percent passing the #100 sieve 5 %
Cumulative percent passing the #200 sieve 3.8 %

Test 2 of 3

DIME Test ID: 2025-12-17-35-2
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: 12/19/2025
Submitted By Organization: CT D04 - Concord Field Laboratory
Organization Address: 2525 Stanwell Drive, Suite 100,
Organization City: Concord
Organization State: CA
Organization Zipcode: 94520
Organization Email: gurind.joshi@dot.ca.gov
Organization Phone: (510) 714-7019
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Sand Equivalent 72

Test 3 of 3

DIME Test ID: 2025-12-17-35-3
Test Method: AASHTO T30-19: Standard Method of Test for Mechanical Analysis of Extracted Aggregate (Mechanical Analysis)
Verified Date: 01/06/2026
Date Tested: 12/19/2025
Submitted By Organization: CT D04 - Concord Field Laboratory
Organization Address: 2525 Stanwell Drive, Suite 100,
Organization City: Concord
Organization State: CA
Organization Zipcode: 94520
Organization Email: gurind.joshi@dot.ca.gov
Organization Phone: (510) 714-7019
General Comments for this Test:
Test Result Compliance: not applicable
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 83 %
Cumulative percent passing the #4 sieve 42 %
Cumulative percent passing the #8 sieve 23 %
Cumulative percent passing the #16 sieve 18 %
Cumulative percent passing the #30 sieve 13 %
Cumulative percent passing the #50 sieve 10 %
Cumulative percent passing the #100 sieve 8 %
Cumulative percent passing the #200 sieve 6.7 %