Project Information

Project ID: 213707 DEA: 081C38U4 EFIS: 0817000196 QA Service Level: 1

DIST-CO-RTE-PM: 08-RIV-10-6.7/R25.1

Work Description: Remove concrete pavement and base, and place HMA and JPCP

Location Description: ROUTE 10/60 SEPARATION IN BEAUMONT TO ROUTE 10/111 SEPARATION NEAR CABAZON.

Contractor Name: Coffman Specialties

Contractor Address: 9685 Via Excelencia, San Diego, CA 92126

Resident Engineer: Elvira Lenart Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2022-06-13-83

TL Number from the TL Form:

Sample Submitted By Organization: CT D08 - Fontana Field Testing Laboratory

Sample Organization Contact: 9512323690

Type of Sample: Department Acceptance

Type of Material: Aggregate

Sample Taken Date: 06/13/2022

Date that the sample was received by the laboratory/organization performing the testing: 06/14/2022

The quantity of what the sample constitutes: 4 Bags of Combined Aggregate

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: California Commercial Asphalt - Coachella

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-33-0084

The fabricator's/manufacturer's product name for the sample:

The fabricator/manufacturer designation for the sample:

The plant number: 43417615

A detailed description of where the material sample was collected: Belt Cut at California Commercial Asphalt Coachella 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

Test 1 of 2

DIME Test ID: 2022-06-13-83-1

Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)

Verified Date: 09/26/2022

Date Tested: 06/14/2022

Submitted By Organization: CT D08 - Fontana Field Testing Laboratory

Organization Address: 13970 Victoria Street,

Organization City: Fontana

Organization State: CA

Organization Zipcode: 92336

Organization Email: prakash.gowda@dot.ca.gov

Organization Phone: (951) 232-3690

General Comments for this Test:

Test Result Compliance: complies

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	97 %
Cumulative percent passing the 1/2 in. sieve	79 %
Cumulative percent passing the 3/8 in. sieve	72 %
Cumulative percent passing the #4 sieve	42 %
Cumulative percent passing the #8 sieve	33 %
Cumulative percent passing the #16 sieve	23 %
Cumulative percent passing the #30 sieve	16 %
Cumulative percent passing the #50 sieve	9 %
Cumulative percent passing the #100 sieve	7 %
Cumulative percent passing the #200 sieve	3.8 %

Test 2 of 2

DIME Test ID: 2022-06-13-83-2

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)