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Sample Record for 2023-06-07-88

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Project Information

Project ID: 993508 DEA: 070W1104 EFIS: 0721000059 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-210-R35.9/R52.2
Work Description: COLD PLANE OVERLAY, INDIVIDUAL REPLACEMENT SLAB AND TRAFFIC STRIPING.
Location Description: LOS ANGELES COUNTY FROM HIGHLAND AVENUE UNDERCROSSING IN DUARTE TO SAN ANTONIO WASH BRIDGE IN CLAREMONT.
Contractor Name: Pavement Coatings
Contractor Address: 10240 San Sevaine Way, Jurupa Valley, CA 91752
Resident Engineer: Moe Izadpanah Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-06-07-88
TL Number from the TL Form: C-924536
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: 06/07/2023
Date that the sample was received by the laboratory/organization performing the testing: 06/16/2023
The quantity of what the sample constitutes: 700 Tons
A brief description of the sample: 3/4-inch Type A HMA Aggregate (Virgin)
From where was the sample collected: Manufacturer
Laboratory sample identification: 9309
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Irwindale

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-19-0035
The fabricator's/manufacturer's product name for the sample: 3/4 HMA-A
The fabricator/manufacturer designation for the sample:
The plant number:
A detailed description of where the material sample was collected: Conveyor belt Feeding the Dryer Drum
Where the material sample would have been placed if not sampled: HMA MAT
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number: 226108M IRW LTR
Lot number:
Sublot number:
Aggregate Mix Number:
Test results on following page(s): 3

Test Results

Test 1 of 3

DIME Test ID: 2023-06-07-88-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 08/25/2023
Date Tested: 06/07/2023
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:
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 98 %
Cumulative percent passing the 1/2 in. sieve 80 %
Cumulative percent passing the 3/8 in. sieve 68 %
Cumulative percent passing the #4 sieve 34 %
Cumulative percent passing the #8 sieve 22 %
Cumulative percent passing the #16 sieve 15 %
Cumulative percent passing the #30 sieve 10 %
Cumulative percent passing the #50 sieve 7 %
Cumulative percent passing the #100 sieve 5 %
Cumulative percent passing the #200 sieve 3.4 %

Test 2 of 3

DIME Test ID: 2023-06-07-88-2
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: 08/25/2023
Date Tested: 06/07/2023
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:
Sand Equivalent 78

Test 3 of 3

DIME Test ID: 2023-06-07-88-3
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: 08/25/2023
Date Tested: 06/07/2023
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:
Which test procedure is being used Method A
Percent of sample passing the #200 sieve (by mass) 10 %