Project Information

Project ID: 994443 DEA: 053307C4 EFIS: 0514000028 QA Service Level: 1

DIST-CO-RTE-PM: 05-SLO-41,46-44.5/45.3,54.0/57.8

Work Description: Wye Segment - Route 41/46 Separation

Location Description:

Contractor Name: Atkinson Construction

Contractor Address: 18201 Von Karman - Suite 800, Irvine, CA 92612

Resident Engineer: Brian Harrington Structure Rep.: Dave Lewis

Sample Information

DIME Sample ID: 2026-03-31-25

TL Number from the TL Form:

Sample Submitted By Organization: CT D05 - Whitley Gardens Field Laboratory

Sample Organization Contact: 805-540-9933

Type of Sample: Acceptance

Type of Material: Aggregate

Sample Taken Date: 03/31/2026

Date that the sample was received by the laboratory/organization performing the testing: 03/31/2026

The quantity of what the sample constitutes: 750 tons

A brief description of the sample: 14609 3/4" Aggregate

From where was the sample collected: Manufacturer

Laboratory sample identification: 2600331 L8SL5

Structure unique identifier:

Structure name:

The fabricator/manufacturer/facility name: Granite Arvin

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-15-0114

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: Conveyor Belt

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: 8

Sublot number: 5

Aggregate Mix Number:

Test Results

Test 1 of 2

DIME Test ID: 2026-03-31-25-1

Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)

Verified Date: 04/07/2026

Date Tested: 04/02/2026

Submitted By Organization: CT D05 - Whitley Gardens Field Laboratory

Organization Address: 102 South Whitley Gardens Drive,

Organization City: Paso Robles

Organization State: CA

Organization Zipcode: 93346

Organization Email: kyle.engen@dot.ca.gov

Organization Phone: (805) 540-9933

General Comments for this Test: Combined w/RAP

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	99 %
Cumulative percent passing the 1/2 in. sieve	83 %
Cumulative percent passing the 3/8 in. sieve	no data0 %
Cumulative percent passing the #4 sieve	55 %
Cumulative percent passing the #8 sieve	41 %
Cumulative percent passing the #16 sieve	no data0 %
Cumulative percent passing the #30 sieve	21 %
Cumulative percent passing the #50 sieve	no data0 %
Cumulative percent passing the #100 sieve	no data0 %
Cumulative percent passing the #200 sieve	4.2 %

Test 2 of 2

DIME Test ID: 2026-03-31-25-2

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)