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Sample Record for 2022-10-06-33

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Project Information

Project ID: 993340 DEA: 051J7504 EFIS: 0518000039 MINOR: 05A2318 QA Service Level: 1
DIST-CO-RTE-PM: 05-SB-101-90
Work Description: Install CMS Sign Structure US 101 NB 0.3 Miles N of Donovan Rd
Location Description: In Santa Maria
Contractor Name: Pelagic Engineering
Contractor Address: 3600 Harbor Blvd #85, Oxnard, CA 93035
Resident Engineer: Thomas Petersen Structure Rep.: Alex Martinez

Sample Information

DIME Sample ID: 2022-10-06-33
TL Number from the TL Form:
Sample Submitted By Organization: CT D05 - Santa Maria Field Laboratory
Sample Organization Contact: 8053191237
Type of Sample: Department Acceptance
Type of Material: Aggregate
Sample Taken Date: 10/06/2022
Date that the sample was received by the laboratory/organization performing the testing: 10/06/2022
The quantity of what the sample constitutes: 1 Sublot
A brief description of the sample: 1/2" HMA A Coldfeed
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Sierra Pacific Materials - Templeton

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-10-0006
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: HMA Plant Cold Feed
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 1/2 inch
The concrete mix design number:
Lot number: 1
Sublot number: 1
Aggregate Mix Number:
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2022-10-06-33-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 11/01/2022
Date Tested: 10/11/2022
Submitted By Organization: CT D05 - Santa Maria Field Laboratory
Organization Address: 2053 Preisker Lane, Suite E,
Organization City: Santa Maria
Organization State: CA
Organization Zipcode: 93427
Organization Email: isaac.gleffe@dot.ca.gov
Organization Phone: (805) 319-1237
General Comments for this Test: Combined Gradation Please refer to attached file
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 100 %
Cumulative percent passing the 1/2 in. sieve 93.7 %
Cumulative percent passing the 3/8 in. sieve 81.8 %
Cumulative percent passing the #4 sieve 54.2 %
Cumulative percent passing the #8 sieve 63.1 %
Cumulative percent passing the #16 sieve 39.4 %
Cumulative percent passing the #30 sieve 27 %
Cumulative percent passing the #50 sieve 20.1 %
Cumulative percent passing the #100 sieve 14.9 %
Cumulative percent passing the #200 sieve 10.6 %