Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000903 DEA: 081M0404 EFIS: 0821000091
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-40-R140.0/R142.2
Work Description: COLD PLANE AC & RHMA, VEGETATION CONTROL (MINOR CONC), MGS, AND HTCB.
Location Description: SAN BERNARDINO COUNTY IN NEEDLES FROM FOX WASH OVERFLOW TO L STREET UNDERCROSSING
Contractor Name: INTERSTATE CIVIL CONSTRUCTION
Contractor Address: Unknown
Resident Engineer: Anthony Doan Structure Rep.: Jegbefume Adodo
DIME Sample ID: 2026-04-24-56
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Barstow Field Laboratory 1
Sample Organization Contact: (760) 252-9216
Type of Sample: Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 04/24/2026
Date that the sample was received by the laboratory/organization performing the testing: 04/24/2026
The quantity of what the sample constitutes: 4 boxes HMA, 2 QTS PG70-10
A brief description of the sample: 1/2" HMA-O
From where was the sample collected: Manufacturer
Laboratory sample identification: 0213-O-26
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Granite - Indio
HMA Type: OGFC
HMA Grading: 1/2 inch
Lot number:
Sublot number:
HMA Mix Number: 14987
Binder content (%): 5.7
Virgin binder PG:
Design binder PG: PG 70-10
Binder Supplier: San Joaquin Refining Co.
RAP content (%): 0
WMA Additives: Yes
Antistrip type: Lime Slurry with Marination
DIME Test ID: 2026-04-24-56-1
Test Method: AASHTO T30-19: Standard Method of Test for Mechanical Analysis of Extracted Aggregate (Mechanical Analysis)
Verified Date: 05/01/2026
Date Tested: 04/30/2026
Submitted By Organization: CT D08 - Barstow Field Laboratory 1
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: kaushalkumar.talati@dot.ca.gov
Organization Phone: (951) 840-8328
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
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Is an aggregate correction factor used?
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Yes
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Cumulative percent passing the 2 in. sieve
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100 %
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Cumulative percent passing the 1 1/2 in. sieve
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100 %
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Cumulative percent passing the 1 in. sieve
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100 %
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Cumulative percent passing the 3/4 in. sieve
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100 %
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Cumulative percent passing the 1/2 in. sieve
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96 %
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Cumulative percent passing the 3/8 in. sieve
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86 %
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Cumulative percent passing the #4 sieve
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33 %
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Cumulative percent passing the #8 sieve
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20 %
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Cumulative percent passing the #16 sieve
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14 %
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Cumulative percent passing the #30 sieve
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9 %
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Cumulative percent passing the #50 sieve
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6 %
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Cumulative percent passing the #100 sieve
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3 %
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Cumulative percent passing the #200 sieve
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1.9 %
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