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Sample Record for 2025-12-21-6

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

Project Information

Project ID: 995468 DEA: 114B0084 EFIS: 1122000208 QA Service Level: 1
DIST-CO-RTE-PM: 11---
Work Description:
Location Description:
Contractor Name: Rubbia Khan Griffith COmpany
Contractor Address: 3050 East Birch Street, Brea, CA, 92821
Resident Engineer: Alfredo Hernandez Medina Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2025-12-21-6
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: 12/21/2025
Date that the sample was received by the laboratory/organization performing the testing: 01/09/2026
The quantity of what the sample constitutes: 2 bags
A brief description of the sample: Plant Sample
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Martin Marietta

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-37-0036
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: 21217105
Test results on following page(s): 3

Test Results

Test 1 of 3

DIME Test ID: 2025-12-21-6-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 02/26/2026
Date Tested: 02/11/2026
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: N/A
Test Result Compliance: not applicable
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 93 %
Cumulative percent passing the 3/8 in. sieve 81 %
Cumulative percent passing the #4 sieve 61 %
Cumulative percent passing the #8 sieve 51 %
Cumulative percent passing the #16 sieve 38 %
Cumulative percent passing the #30 sieve 25 %
Cumulative percent passing the #50 sieve 13 %
Cumulative percent passing the #100 sieve 6 %
Cumulative percent passing the #200 sieve 2.9 %

Test 2 of 3

DIME Test ID: 2025-12-21-6-2
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: 02/24/2026
Date Tested: 02/11/2026
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 72

Test 3 of 3

DIME Test ID: 2025-12-21-6-3
Test Method: AASHTO T30-19: Standard Method of Test for Mechanical Analysis of Extracted Aggregate (Mechanical Analysis)
Verified Date: 02/26/2026
Date Tested: 02/11/2026
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: N/A
Test Result Compliance: not applicable
Additional Comments When Verified:
Is an aggregate correction factor used? Yes
Aggregate correction factor for the 2 in. sieve (% passing) no data0 %
Aggregate correction factor for the 1 1/2 in. sieve (% passing) no data0 %
Aggregate correction factor for the 1 in. sieve (% passing) no data0 %
Aggregate correction factor for the 3/4 in. sieve (% passing) no data0 %
Aggregate correction factor for the 1/2 in. sieve (% passing) -0.5 %
Aggregate correction factor for the 3/8 in. sieve (% passing) -0.2 %
Aggregate correction factor for the #4 sieve (% passing) -0.7 %
Aggregate correction factor for the #8 sieve (% passing) -0.2 %
Aggregate correction factor for the #16 sieve (% passing) -0.5 %
Aggregate correction factor for the #30 sieve (% passing) -0.7 %
Aggregate correction factor for the #50 sieve (% passing) 0.1 %
Aggregate correction factor for the #100 sieve (% passing) 0.8 %
Aggregate correction factor for the #200 sieve (% passing) 1.1 %
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 97 %
Cumulative percent passing the 3/8 in. sieve 85 %
Cumulative percent passing the #4 sieve 62 %
Cumulative percent passing the #8 sieve 52 %
Cumulative percent passing the #16 sieve 39 %
Cumulative percent passing the #30 sieve 26 %
Cumulative percent passing the #50 sieve 15 %
Cumulative percent passing the #100 sieve 9 %
Cumulative percent passing the #200 sieve 6.3 %