Sample Record for 2022-07-06-57
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 993771 DEA: 07325204 EFIS: 0716000082
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-210-R36.7/R37.1
Work Description: San Gabriel River Bridge - CM/GC Project - Hinge And Diaphragm Repairs
Location Description: Los Angeles County - LOS ANGELES COUNTY IN IRWINDALE FROM 0.2 MILE EAST OF 0.7 MILE WEST OF IRWINDALE AVENUE OVECROSSING
Contractor Name: FLATIRON WEST INC
Contractor Address: 14726 Ramona Avenue, Suite 300, Chino, CA 91710
Resident Engineer: Moe Izadpanah Structure Rep.: Quynh Nguyen
Sample Information
DIME Sample ID: 2022-07-06-57
TL Number from the TL Form: C0706A1
Sample Submitted By Organization: CT D07 - Plant Services
Sample Organization Contact: 562-345-3126
Type of Sample: Department Acceptance
Type of Material: Aggregate
Sample Taken Date: 07/06/2022
Date that the sample was received by the laboratory/organization performing the testing: 07/12/2022
The quantity of what the sample constitutes: 350 tons
A brief description of the sample: 3/4" HMA-A
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Irwindale
Material Information
Source Identification (SMARA, name of Pit or Job Site): 91-19-0035
The fabricator's/manufacturer's product name for the sample: 220831A IRW LTR
The fabricator/manufacturer designation for the sample: Pavement Overlay
The plant number: Irwindale
A detailed description of where the material sample was collected: Belt Discharge
Where the material sample would have been placed if not sampled: Shoulder
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:
Test Results
Test 1 of 3
DIME Test ID: 2022-07-06-57-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 08/11/2022
Date Tested: 07/20/2022
Submitted By Organization: CT D07 - Plant Services
Organization Address: 13230 East Firestone Boulevard, Suite G,
Organization City: Santa Fe Springs
Organization State: CA
Organization Zipcode: 90670
Organization Email: victor.zengler@dot.ca.gov
Organization Phone: (562) 345-3126
General Comments for this Test:
Test Result Compliance: not applicable
Additional Comments When Verified:
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What type of gradation is being tested?
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HMA Gradation
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Cumulative percent passing the 2 in. sieve
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no data
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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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97.1 %
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Cumulative percent passing the 1/2 in. sieve
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79.3 %
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Cumulative percent passing the 3/8 in. sieve
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71.2 %
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Cumulative percent passing the #4 sieve
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47.5 %
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Cumulative percent passing the #8 sieve
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30.4 %
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Cumulative percent passing the #16 sieve
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19 %
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Cumulative percent passing the #30 sieve
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11.5 %
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Cumulative percent passing the #50 sieve
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6.5 %
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Cumulative percent passing the #100 sieve
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4 %
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Cumulative percent passing the #200 sieve
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2.82 %
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Test 2 of 3
DIME Test ID: 2022-07-06-57-2
Test Method: AASHTO T11-5: Standard Method of Test for Materials Finer Than 75-μm (No. 200) Sieve in Mineral Aggregates by Washing
Verified Date: 08/11/2022
Date Tested: 07/20/2022
Submitted By Organization: CT D07 - Plant Services
Organization Address: 13230 East Firestone Boulevard, Suite G,
Organization City: Santa Fe Springs
Organization State: CA
Organization Zipcode: 90670
Organization Email: victor.zengler@dot.ca.gov
Organization Phone: (562) 345-3126
General Comments for this Test:
Test Result Compliance: not applicable
Additional Comments When Verified:
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Which test procedure is being used
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Method A
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Percent of sample passing the #200 sieve (by mass)
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5.9 %
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Test 3 of 3
DIME Test ID: 2022-07-06-57-3
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: 08/11/2022
Date Tested: 07/20/2022
Submitted By Organization: CT D07 - Plant Services
Organization Address: 13230 East Firestone Boulevard, Suite G,
Organization City: Santa Fe Springs
Organization State: CA
Organization Zipcode: 90670
Organization Email: victor.zengler@dot.ca.gov
Organization Phone: (562) 345-3126
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
