Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993582 DEA: 081L8404 EFIS: 0820000169
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-138-R15.3/r17.1
Work Description: INSTALL GROUND-IN CENTERLINE AND SHOULDER RUMBLE STRIP
Location Description:
Contractor Name: Autoban Construction, Inc
Contractor Address: 933 N Batavia St, Orange, CA 92867
Resident Engineer: Mauricio Santa Cruz Structure Rep.: Unknown
DIME Sample ID: 2023-06-30-23
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Blythe Field Testing Laboratory
Sample Organization Contact: 9096015132
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 06/30/2023
Date that the sample was received by the laboratory/organization performing the testing: 07/02/2023
The quantity of what the sample constitutes: 1 bag
A brief description of the sample: 3/4" HMA A
From where was the sample collected: Fabricator
Laboratory sample identification: test 1 56 tons out at 0757 am
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Corona
DIME Test ID: 2023-06-30-23-1
Test Method: AASHTO T30-19: Standard Method of Test for Mechanical Analysis of Extracted Aggregate (Mechanical Analysis)
Verified Date: 07/07/2023
Date Tested: 07/03/2023
Submitted By Organization: CT D08 - Blythe Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: brian.teh@dot.ca.gov
Organization Phone: (909) 601-5132
General Comments for this Test: AGG SIEVES #30 TO 3/4" ARE OUT OF OPERATING RANGE
Test Result Compliance: does not comply
Additional Comments When Verified:
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Is an aggregate correction factor used?
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No
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Cumulative percent passing the 2 in. sieve
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no data0 %
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Cumulative percent passing the 1 1/2 in. sieve
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no data0 %
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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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97 %
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Cumulative percent passing the 1/2 in. sieve
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92 %
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Cumulative percent passing the 3/8 in. sieve
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83 %
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Cumulative percent passing the #4 sieve
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58 %
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Cumulative percent passing the #8 sieve
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44 %
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Cumulative percent passing the #16 sieve
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32 %
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Cumulative percent passing the #30 sieve
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22 %
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Cumulative percent passing the #50 sieve
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13 %
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Cumulative percent passing the #100 sieve
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8 %
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Cumulative percent passing the #200 sieve
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5.8 %
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