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Sample Record for 2022-04-26-47

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Project Information

Project ID: 215150 DEA: 120P0304 EFIS: 1215000024 QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-74-11.5/16.6
Work Description: PLACE HIGH FRICTION SURFACE TREATMENT, HMA & MIDWEST GUARDRAIL SYSTEM.
Location Description: ORANGE COUNTY NEAR SAN JUAN CAPISTRANO FROM 1.0 MILE WEST OF SAN JUAN HOT SPRINGS ROAD TO ORANGE COUNTY LINE
Contractor Name: AMERICAN CIVIL CONSTRUCTORS WEST COAST LLC
Contractor Address: 2990 Bay Vista Court Suit D, Benicia, CA 95122
Resident Engineer: Arsalan Naderi Structure Rep.: Mohammad (Mo) Rousta

Sample Information

DIME Sample ID: 2022-04-26-47
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: 04/26/2022
Date that the sample was received by the laboratory/organization performing the testing: 05/16/2022
The quantity of what the sample constitutes: 4 Bags Of Combined Aggregate
A brief description of the sample: JMF 3/4" RWMA-G-SP, 0.50% Evotherm
From where was the sample collected: Manufacturer
Laboratory sample identification: 0289G-22
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: RJ Noble-Orange Plant

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-33-0035
The fabricator's/manufacturer's product name for the sample:
The fabricator/manufacturer designation for the sample:
The plant number: 49R003ARSPWEO
A detailed description of where the material sample was collected: Belt Cut at RJ Noble Orange Plant
Where the material sample would have been placed if not sampled: Asphalt Paving
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): 8

Test Results

Test 1 of 8

DIME Test ID: 2022-04-26-47-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 06/28/2022
Date Tested: 05/25/2022
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: 9098293029
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 98 %
Cumulative percent passing the 1/2 in. sieve 87 %
Cumulative percent passing the 3/8 in. sieve 72 %
Cumulative percent passing the #4 sieve 33 %
Cumulative percent passing the #8 sieve 19 %
Cumulative percent passing the #16 sieve 13 %
Cumulative percent passing the #30 sieve 9 %
Cumulative percent passing the #50 sieve 7 %
Cumulative percent passing the #100 sieve 5 %
Cumulative percent passing the #200 sieve 3.8 %

Test 2 of 8

DIME Test ID: 2022-04-26-47-2
Test Method: AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity)
Verified Date: 06/28/2022
Date Tested: 05/25/2022
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: 9098293029
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Bulk specific gravity 2.585
Bulk specific gravity (SSD Basis) 2.634
Apparent specific gravity 2.719
Absorption 1.9 %

Test 3 of 8

DIME Test ID: 2022-04-26-47-3
Test Method: AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)
Verified Date: 06/28/2022
Date Tested: 05/25/2022
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: 9098293029
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Basis for relative density testing Bulk
Specific Gravity 2.717
Absorption 0.5 %

Test 4 of 8

DIME Test ID: 2022-04-26-47-4
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: 06/28/2022
Date Tested: 05/26/2022
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: 9098293029
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) 4105 grams
Percent loss after 100 revolutions 4 %
Percent loss after 500 revolutions 18 %

Test 5 of 8

DIME Test ID: 2022-04-26-47-5
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: 06/28/2022
Date Tested: 05/26/2022
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: 9098293029
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sand Equivalent 74

Test 6 of 8

DIME Test ID: 2022-04-26-47-6
Test Method: AASHTO T304-11: Standard Method of Test for Uncompacted Void Content of Fine Aggregate (Fine of Crushed Particles)
Verified Date: 06/28/2022
Date Tested: 05/26/2022
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: 9098293029
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
What test method is performed? Method A
Bulk dry specific gravity 2.585
Average uncompacted voids 47 %

Test 7 of 8

DIME Test ID: 2022-04-26-47-7
Test Method: AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)
Verified Date: 06/28/2022
Date Tested: 05/26/2022
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: 9098293029
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Method 1 - Combined Fracture Determination
Aggregate Size and Fracture Type Coarse 1 and 2 Faced and Fine 1 Faced
Percentage of fractured, coarse, 2 faced particles tested 99 %
Percentage of fractured, coarse, 1 faced particles tested 99 %
Percentage of fractured, fine, 1 faced particles tested 100 %

Test 8 of 8

DIME Test ID: 2022-04-26-47-8
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: 06/28/2022
Date Tested: 05/26/2022
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: 9098293029
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 3 %
Weighted percentage of particles (by mass) that were not flat and elongated 97 %