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Sample Record for 2023-06-06-47

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

Project Information

Project ID: 993669 DEA: 112N1164 EFIS: 1121000145 QA Service Level: 1
DIST-CO-RTE-PM: 11-IMP-186-0.0/2.1
Work Description: COLD PLANE, SAMI, RHMA-G AND PAVEMENT MARKINGS
Location Description: IMPERIAL COUNTY AT ANDRADE FROM MEXICO BORDER TO ROUTE 186/8 SEPARATION
Contractor Name: HAZARD CONSTRUCTION ENGR, LLC
Contractor Address: 10529 VINE STREET, LAKESIDE, CA 92040
Resident Engineer: Daniel Hernandez Duarte Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-06-06-47
TL Number from the TL Form:
Sample Submitted By Organization: CT D11 - District 11 Materials Laboratory
Sample Organization Contact: (858) 688-1570
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 06/06/2023
Date that the sample was received by the laboratory/organization performing the testing: 06/09/2023
The quantity of what the sample constitutes: 8 boxes 8 bags
A brief description of the sample: 1/2" RHMA-G
From where was the sample collected: Supplier
Laboratory sample identification: 7403-PSU
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: API Gateway

Material Information

Source Identification (SMARA, name of Pit or Job Site): N/A
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: Supplier
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: 3
Aggregate Mix Number:
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2023-06-06-47-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 08/04/2023
Date Tested: 08/04/2023
Submitted By Organization: CT D11 - District 11 Materials Laboratory
Organization Address: 7177 Opportunity Road,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92111
Organization Email: dave.m.cortez@dot.ca.gov
Organization Phone: (858) 688-1570
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 100 %
Cumulative percent passing the 1/2 in. sieve 94 %
Cumulative percent passing the 3/8 in. sieve 86 %
Cumulative percent passing the #4 sieve 31 %
Cumulative percent passing the #8 sieve 18 %
Cumulative percent passing the #16 sieve 12 %
Cumulative percent passing the #30 sieve 8 %
Cumulative percent passing the #50 sieve 7 %
Cumulative percent passing the #100 sieve 5 %
Cumulative percent passing the #200 sieve 2.8 %