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Sample Record for 2023-01-06-36

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 993828 DEA: 070W0704 EFIS: 0721000031 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-710-6.9/17.3
Work Description: INDIVIDUAL SLAB REPLACEMENT.
Location Description: LOS ANGELES COUNTY IN AND NEAR LONG BEACH FROM ROUTE 1/710 SEPARATION TO LOS ANGELES RIVER BRIDGE
Contractor Name: ALL AMERICAN ASPHALT
Contractor Address: Unknown
Resident Engineer: Jose FERRER Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-01-06-36
TL Number from the TL Form:
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: 01/06/2023
Date that the sample was received by the laboratory/organization performing the testing: 01/06/2023
The quantity of what the sample constitutes: 2 bags
A brief description of the sample: three quarter inch HMA Type A
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: AAA-Irwindale

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-33-0005
The fabricator's/manufacturer's product name for the sample: 3/4 HMA Aggregate
The fabricator/manufacturer designation for the sample:
The plant number:
A detailed description of where the material sample was collected: Conveyor Belt at Plant
Where the material sample would have been placed if not sampled: HMA Pavement
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number: 105793
Lot number:
Sublot number:
Aggregate Mix Number:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2023-01-06-36-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 02/17/2023
Date Tested: 01/06/2023
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:
What type of gradation is being tested? HMA Gradation
Cumulative percent passing the 2 in. sieve no data
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 82 %
Cumulative percent passing the 3/8 in. sieve 72 %
Cumulative percent passing the #4 sieve 42 %
Cumulative percent passing the #8 sieve 30 %
Cumulative percent passing the #16 sieve 21 %
Cumulative percent passing the #30 sieve 14 %
Cumulative percent passing the #50 sieve 9 %
Cumulative percent passing the #100 sieve 5 %
Cumulative percent passing the #200 sieve 3.8 %

Test 2 of 2

DIME Test ID: 2023-01-06-36-2
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 02/17/2023
Date Tested: 01/06/2023
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: RAP Gradation
Test Result Compliance: not applicable
Additional Comments When Verified:
What type of gradation is being tested? HMA Gradation
Cumulative percent passing the 2 in. sieve no data
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 98 %
Cumulative percent passing the 3/8 in. sieve 94 %
Cumulative percent passing the #4 sieve 74 %
Cumulative percent passing the #8 sieve 55 %
Cumulative percent passing the #16 sieve 41 %
Cumulative percent passing the #30 sieve 30 %
Cumulative percent passing the #50 sieve 20 %
Cumulative percent passing the #100 sieve 13 %
Cumulative percent passing the #200 sieve 9 %