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Sample Record for 2022-04-27-10

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Project Information

Project ID: 993271 DEA: 11430604 EFIS: 1119000026 QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-8,805-5.6/17.4
Work Description: INSTALL HIGH FRICTION SURFACE TREATMENT
Location Description: FOR CONSTRUCTION ON STATE HIGHWAY IN SAN DIEGO COUNTY IN SAN DIEGO ON ROUTE 8 AT ROUTE 15/8 SEPARATION AND ON ROUTE 805 AT NORTHBOUND 805 TO EASTBOUND 8 CONNECTOR
Contractor Name: HAZARD CONSTRUCTION COMPANY
Contractor Address: 10529 Vine Street, Lakeside, CA, 92040
Resident Engineer: Genaro Genel-Trujillo Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2022-04-27-10
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: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 04/27/2022
Date that the sample was received by the laboratory/organization performing the testing: 04/28/2022
The quantity of what the sample constitutes: 12 boxes, 2 bags, 3 cans
A brief description of the sample: 3/4" RHMA-G
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Otay

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-37-0035
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: 3/4 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:
Test results on following page(s): 5

Test Results

Test 1 of 5

DIME Test ID: 2022-04-27-10-2
Test Method: AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)
Verified Date: 08/29/2024
Date Tested: 05/02/2022
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:
Test Result Compliance:
Additional Comments When Verified:
Method 1 - Combined Fracture Determination
Aggregate Size and Fracture Type Coarse 2 Faced
Percentage of questionable, coarse, 2 faced particles tested no data0 %
Percentage of fractured, coarse, 2 faced particles tested 100 %

Test 2 of 5

DIME Test ID: 2022-04-27-10-4
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: 08/29/2024
Date Tested: 05/03/2022
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:
Test Result Compliance:
Additional Comments When Verified:
Sand Equivalent 55

Test 3 of 5

DIME Test ID: 2022-04-27-10-5
Test Method: AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity)
Verified Date: 08/29/2024
Date Tested: 05/03/2022
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:
Test Result Compliance:
Additional Comments When Verified:
Bulk specific gravity 2.443
Bulk specific gravity (SSD Basis) 2.499
Apparent specific gravity 2.588
Absorption 2.3 %

Test 4 of 5

DIME Test ID: 2022-04-27-10-6
Test Method: AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)
Verified Date: 08/29/2024
Date Tested: 05/03/2022
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:
Test Result Compliance:
Additional Comments When Verified:
Basis for relative density testing Bulk SSD
Specific Gravity 2.711
Absorption 1.3 %

Test 5 of 5

DIME Test ID: 2022-04-27-10-7
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: 08/29/2024
Date Tested: 05/04/2022
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:
Test Result Compliance: complies
Additional Comments When Verified:
Grading designation B
Mass of sample on No.12 sieve (after 500 revolutions) 4430 grams
Percent loss after 100 revolutions 5 %
Percent loss after 500 revolutions 11 %