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Sample Record for 2021-03-19-20

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Project Information

Project ID: 214674 DEA: 120N7204 EFIS: 1214000093 QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-73-10.0/R28.0
Work Description: IN ORANGE COUNTY IN LAGUNA NIGUEL, LAGUNA BEACH, NEWPORT BEACH, ALISO VIEJO, LAGUNA HILLS, IRVINE AND COSTA MESA FROM 0.3 MI SOUTH OF NB 73/SB 5 CONNECTOR TO 0.2 MILE NORTH OF NB 73/NB 405 CONNECTOR.
Location Description: UPGRADE SAFETY DEVICES, RELOCATE CONTROL CABINET, CCTV'S & ELECTROLIERS, REMOVE & REPLACE OH SIGN STRUCTURES
Contractor Name: CHUMO CONSTRUCTION GROUP, INC.
Contractor Address: 14425 Joanbridge St., Baldwin Park, CA 91706
Resident Engineer: MONAS CHAUDRY, MONAS Structure Rep.: Chungkeun Lee

Sample Information

DIME Sample ID: 2021-03-19-20
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Verification
Type of Material: Aggregate
Sample Taken Date: 03/19/2021
Date that the sample was received by the laboratory/organization performing the testing: 03/29/2021
The quantity of what the sample constitutes: 6 Bags of Combined Aggregate
A brief description of the sample: JMF 1/2" HMA-O-SP
From where was the sample collected: Manufacturer
Laboratory sample identification: 0174O-21
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: All American Asphalt Irvine

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-33-0005
The fabricator's/manufacturer's product name for the sample: 1/2 HMA-O SP
The fabricator/manufacturer designation for the sample:
The plant number: 109930
A detailed description of where the material sample was collected: Belt Cut at All American Irvine Plant
Where the material sample would have been placed if not sampled: Asphalt Paving
Primary Aggregate Nominal Size: 1/2 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:
Test results on following page(s): 6

Test Results

Test 1 of 6

DIME Test ID: 2021-03-19-20-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 04/15/2021
Date Tested: 04/05/2021
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: (909) 829-3029
General Comments for this Test: Combined Virgin Aggregate Gradation
Test Result Compliance:
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 96 %
Cumulative percent passing the 3/8 in. sieve 83 %
Cumulative percent passing the #4 sieve 28 %
Cumulative percent passing the #8 sieve 10 %
Cumulative percent passing the #16 sieve 6 %
Cumulative percent passing the #30 sieve 4 %
Cumulative percent passing the #50 sieve 3 %
Cumulative percent passing the #100 sieve 3 %
Cumulative percent passing the #200 sieve 2.2 %

Test 2 of 6

DIME Test ID: 2021-03-19-20-2
Test Method: AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)
Verified Date: 04/15/2021
Date Tested: 04/08/2021
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: (909) 829-3029
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Method 2 - Individual Fracture Determination
Aggregate Size and Fracture Type Coarse 1 and 2 Faced and Fine 1 Faced
Weighted average percentage of fractured, coarse, 2 faced particles 100 %
Weighted average percentage of fractured, coarse, 1 faced particles 100 %
Percentage of fractured, fine, 1 faced particles tested 100 %

Test 3 of 6

DIME Test ID: 2021-03-19-20-3
Test Method: AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)
Verified Date: 04/15/2021
Date Tested: 04/06/2021
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: (909) 829-3029
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Basis for relative density testing Bulk
Specific Gravity 2.699
Absorption 1 %

Test 4 of 6

DIME Test ID: 2021-03-19-20-4
Test Method: AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity)
Verified Date: 04/15/2021
Date Tested: 04/06/2021
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: (909) 829-3029
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Bulk specific gravity 2.675
Bulk specific gravity (SSD Basis) 2.720
Apparent specific gravity 2.803
Absorption 1.7 %

Test 5 of 6

DIME Test ID: 2021-03-19-20-5
Test Method: AASHTO T96-02r10: Standard Method of Test for Resistance to Degradation of Small-Size Coarse Aggregate by Abrasion and Impact in the Los Angeles Machine (Los Angeles Rattler)
Verified Date: 04/15/2021
Date Tested: 04/06/2021
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: (909) 829-3029
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Grading designation C
Mass of sample on No.12 sieve (after 500 revolutions) 4032 grams
Percent loss after 100 revolutions 5 %
Percent loss after 500 revolutions 19 %

Test 6 of 6

DIME Test ID: 2021-03-19-20-6
Test Method: ASTM D4791-10: Standard Test Method for Flat Particles, Elongated Particles, or Flat and Elongated Particles in Coarse Aggregate (Withdrawn 2019) (Flat and Elongated Particles)
Verified Date: 04/15/2021
Date Tested: 04/08/2021
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: (909) 829-3029
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Method B
Determination By Mass
Dimensional ratio used 5:1
Weighted percentage of particles (by mass) that were flat and elongated 1 %
Weighted percentage of particles (by mass) that were not flat and elongated 99 %