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Sample Record for 2023-08-07-18

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

Project Information

Project ID: 994602 DEA: 09392004 EFIS: 0922000036 QA Service Level: 1
DIST-CO-RTE-PM: 09-INY-395-44.9/50.9,52.9/54.5
Work Description: HOT MIX ASPHALT (TYPE-A), SHOULDER BACKING, AND STRIPING.
Location Description: INYO COUNTY NEAR LONE PINE FROM 1.3 MILES SOUTH OF COTTONWOOD ROAD TO 2 MILES NORTH OF BARTLETT ROAD AND FROM 0.3 MILE SOUTH OF LUBKEN CANYON ROAD TO 1.1 MILES SOUTH OF GOLF COURSE ROAD
Contractor Name: SULLY-MILLER CONTRACTING COMPANY
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-08-07-18
TL Number from the TL Form:
Sample Submitted By Organization: CT D09 - Bishop Field Laboratory
Sample Organization Contact: (760) 872-5211
Type of Sample: Department Acceptance
Type of Material: Aggregate
Sample Taken Date: 08/07/2023
Date that the sample was received by the laboratory/organization performing the testing: 08/08/2023
The quantity of what the sample constitutes: 1 bag
A brief description of the sample: shoulder backing
From where was the sample collected: Source
Laboratory sample identification: SB 1
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: F W Aggregates

Material Information

Source Identification (SMARA, name of Pit or Job Site): F W pit
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: Stockpile @ Plant
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 1-1/2 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:
Test results on following page(s): 3

Test Results

Test 1 of 3

DIME Test ID: 2023-08-07-18-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 08/14/2023
Date Tested: 08/14/2023
Submitted By Organization: CT D09 - Bishop Field Laboratory
Organization Address: 500 South Main Street,
Organization City: Bishop
Organization State: CA
Organization Zipcode: 93514
Organization Email: chris.talbot@dot.ca.gov
Organization Phone: (760) 872-0794
General Comments for this Test: SB-01
Test Result Compliance: does not comply
Additional Comments When Verified:
What type of gradation is being tested? Combined Gradation
Cumulative percent passing the 2 in. sieve 100 %
Cumulative percent passing the 1 1/2 in. sieve 100 %
Cumulative percent passing the 1 in. sieve 99 %
Cumulative percent passing the 3/4 in. sieve 99 %
Cumulative percent passing the 1/2 in. sieve 95 %
Cumulative percent passing the 3/8 in. sieve 89 %
Cumulative percent passing the #4 sieve 77 %
Cumulative percent passing the #8 sieve 60 %
Cumulative percent passing the #16 sieve 48 %
Cumulative percent passing the #30 sieve 40 %
Cumulative percent passing the #50 sieve 30 %
Cumulative percent passing the #100 sieve 20 %
Cumulative percent passing the #200 sieve 13.4 %

Test 2 of 3

DIME Test ID: 2023-08-07-18-2
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)
Verified Date: 08/14/2023
Date Tested: 08/14/2023
Submitted By Organization: CT D09 - Bishop Field Laboratory
Organization Address: 500 South Main Street,
Organization City: Bishop
Organization State: CA
Organization Zipcode: 93514
Organization Email: chris.talbot@dot.ca.gov
Organization Phone: (760) 872-0794
General Comments for this Test: SB-01
Test Result Compliance: complies
Additional Comments When Verified:
Sand Equivalent 34

Test 3 of 3

DIME Test ID: 2023-08-07-18-3
Test Method: AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)
Verified Date: 08/14/2023
Date Tested: 08/14/2023
Submitted By Organization: CT D09 - Bishop Field Laboratory
Organization Address: 500 South Main Street,
Organization City: Bishop
Organization State: CA
Organization Zipcode: 93514
Organization Email: chris.talbot@dot.ca.gov
Organization Phone: (760) 872-0794
General Comments for this Test: SB-01
Test Result Compliance: complies
Additional Comments When Verified:
Method 2 - Individual Fracture Determination
Aggregate Size and Fracture Type Coarse 1 and 2 Faced
Weighted average percentage of fractured, coarse, 2 faced particles 89.7 %
Weighted average percentage of fractured, coarse, 1 faced particles 81.3 %