Project Information

Project ID: 994514 DEA: 043Y0504 EFIS: 0423000192 QA Service Level: 1

DIST-CO-RTE-PM: 04-SOL-12112113-var/var

Work Description: PAVEMENT REPAIR

Location Description:

Contractor Name: OC Jones

Contractor Address: Unknown

Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-05-05-57

TL Number from the TL Form:

Sample Submitted By Organization: CT D04 - Concord Field Laboratory

Sample Organization Contact: (510) 714-7019

Type of Sample: Quality Assurance

Type of Material: Aggregate

Sample Taken Date: 05/05/2023

Date that the sample was received by the laboratory/organization performing the testing: 05/15/2023

The quantity of what the sample constitutes: 4 bags

A brief description of the sample: 3/4 HMA Type A

From where was the sample collected: Manufacturer

Laboratory sample identification: Con_23_439

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: Vulcan Vallejo

The fabricator/manufacturer designation for the sample: Batch

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: Roadway

Primary Aggregate Nominal Size: 3/4 inch

The concrete mix design number:

Lot number:

Sublot number:

Aggregate Mix Number: 411101510LB0122

Test Results

Test 1 of 2

DIME Test ID: 2023-05-05-57-1

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

Verified Date: 05/19/2023

Date Tested: 05/16/2023

Submitted By Organization: CT D04 - Concord Field Laboratory

Organization Address: 2525 Stanwell Drive, Suite 100,

Organization City: Concord

Organization State: CA

Organization Zipcode: 94520

Organization Email: gurind.joshi@dot.ca.gov

Organization Phone: (510) 714-7019

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 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	78 %
Cumulative percent passing the 3/8 in. sieve	72 %
Cumulative percent passing the #4 sieve	55 %
Cumulative percent passing the #8 sieve	38 %
Cumulative percent passing the #16 sieve	23 %
Cumulative percent passing the #30 sieve	16 %
Cumulative percent passing the #50 sieve	10 %
Cumulative percent passing the #100 sieve	6 %
Cumulative percent passing the #200 sieve	4.6 %

Test 2 of 2

DIME Test ID: 2023-05-05-57-2

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)