Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
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
DIME Sample ID: 2023-03-12-2
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: 03/12/2023
Date that the sample was received by the laboratory/organization performing the testing: 03/15/2023
The quantity of what the sample constitutes: 850 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: AAA-Irvine
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-A-R15
The fabricator/manufacturer designation for the sample: Mix 105793
The plant number: Irvine
A detailed description of where the material sample was collected: Belt Discharge
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number: 105793
Lot number:
Sublot number:
Aggregate Mix Number:
DIME Test ID: 2023-03-12-2-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 04/19/2023
Date Tested: 03/20/2023
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: 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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96 %
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Cumulative percent passing the 1/2 in. sieve
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87 %
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Cumulative percent passing the 3/8 in. sieve
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80 %
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Cumulative percent passing the #4 sieve
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51 %
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Cumulative percent passing the #8 sieve
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33 %
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Cumulative percent passing the #16 sieve
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23 %
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Cumulative percent passing the #30 sieve
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16 %
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Cumulative percent passing the #50 sieve
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10 %
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Cumulative percent passing the #100 sieve
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7 %
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Cumulative percent passing the #200 sieve
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5 %
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DIME Test ID: 2023-03-12-2-2
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: 04/19/2023
Date Tested: 03/20/2023
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: 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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9.9 %
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DIME Test ID: 2023-03-12-2-3
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: 04/19/2023
Date Tested: 03/20/2023
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: