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Sample Record for 2023-03-23-27

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

Project Information

Project ID: 994512 DEA: 043Y2804 EFIS: 0423000216 QA Service Level: 1
DIST-CO-RTE-PM: 04-MRN-101-var/var
Work Description: REPAIR STORM-RELATED PAVEMENT DAMAGE & SETTLEMENT
Location Description:
Contractor Name: OC Jones
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-03-23-27
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - Richmond Field Laboratory
Sample Organization Contact: (510) 231-7151
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 03/23/2023
Date that the sample was received by the laboratory/organization performing the testing: 03/24/2023
The quantity of what the sample constitutes: 5 Bags
A brief description of the sample: 3/4 HMA Type A
From where was the sample collected: Manufacturer
Laboratory sample identification: Rich_23_073
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Vallejo

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-48-0002
The fabricator's/manufacturer's product name for the sample: 3/4 HMA Type A
The fabricator/manufacturer designation for the sample: Batch Plant
The plant number:
A detailed description of where the material sample was collected: Bins 1, 2, 3, and 4
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: 1
Sublot number: 9
Aggregate Mix Number: 700SPW16
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2023-03-23-27-1
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: 04/24/2023
Date Tested: 03/28/2023
Submitted By Organization: CT D04 - Richmond Field Laboratory
Organization Address: 3401 Regatta Boulevard,
Organization City: Richmond
Organization State: CA
Organization Zipcode: 94508
Organization Email: santiago.sequeira@dot.ca.gov
Organization Phone: (510) 385-7641
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Sand Equivalent 74

Test 2 of 2

DIME Test ID: 2023-03-23-27-2
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 04/24/2023
Date Tested: 03/28/2023
Submitted By Organization: CT D04 - Richmond Field Laboratory
Organization Address: 3401 Regatta Boulevard,
Organization City: Richmond
Organization State: CA
Organization Zipcode: 94508
Organization Email: santiago.sequeira@dot.ca.gov
Organization Phone: (510) 385-7641
General Comments for this Test: 3/4 HMA L1 SL9
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 100 %
Cumulative percent passing the 1/2 in. sieve 85 %
Cumulative percent passing the 3/8 in. sieve 73 %
Cumulative percent passing the #4 sieve 40 %
Cumulative percent passing the #8 sieve 28 %
Cumulative percent passing the #16 sieve 17 %
Cumulative percent passing the #30 sieve 12 %
Cumulative percent passing the #50 sieve 8 %
Cumulative percent passing the #100 sieve 5 %
Cumulative percent passing the #200 sieve 2.7 %