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Sample Record for 2023-07-25-75

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

Project Information

Project ID: 994936 DEA: 051P1604 EFIS: 0521000179 QA Service Level: 1
DIST-CO-RTE-PM: 05---
Work Description:
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-07-25-75
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Dispute Resolution
Type of Material: Aggregate
Sample Taken Date: 07/25/2023
Date that the sample was received by the laboratory/organization performing the testing: 08/14/2023
The quantity of what the sample constitutes: 2 bags
A brief description of the sample: 3/4" Aggregate
From where was the sample collected: Source
Laboratory sample identification: 23-DISPUTE-0154
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: SPM-Templeton

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-10-0006
The fabricator's/manufacturer's product name for the sample:
The fabricator/manufacturer designation for the sample: TEM39AC34GGLM
The plant number:
A detailed description of where the material sample was collected: HMA Plant
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number:
Lot number: 1
Sublot number: 1
Aggregate Mix Number:
Test results on following page(s): 3

Test Results

Test 1 of 3

DIME Test ID: 2023-07-25-75-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 08/16/2023
Date Tested: 08/16/2023
Submitted By Organization: CT HQ - Sacramento Aggregate Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: bang.d.nguyen@dot.ca.gov
Organization Phone: (916) 227-7204
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
What type of gradation is being tested? HMA Gradation
Individual mass retained on the 1 1/2 in. sieve 0.0 grams
Individual mass retained on the 1 in. sieve 0.0 grams
Individual mass retained on the 3/4 in. sieve 44.5 grams
Individual mass retained on the 1/2 in. sieve 865.6 grams
Individual mass retained on the 3/8 in. sieve 1087.4 grams
Individual mass retained on the #4 sieve 1678.5 grams
Individual mass retained on the #8 sieve 187.3 grams
Individual mass retained on the #16 sieve 93.5 grams
Individual mass retained on the #30 sieve 48.6 grams
Individual mass retained on the #50 sieve 28.6 grams
Individual mass retained on the #100 sieve 15.9 grams
Individual mass retained on the #200 sieve 14.1 grams
Individual mass retained on the pan 2.1 grams
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 99 %
Cumulative percent passing the 1/2 in. sieve 83 %
Cumulative percent passing the 3/8 in. sieve 63 %
Cumulative percent passing the #4 sieve 31 %
Cumulative percent passing the #8 sieve 17 %
Cumulative percent passing the #16 sieve 10 %
Cumulative percent passing the #30 sieve 7 %
Cumulative percent passing the #50 sieve 5 %
Cumulative percent passing the #100 sieve 4 %
Cumulative percent passing the #200 sieve 2.6 %

Test 2 of 3

DIME Test ID: 2023-07-25-75-2
Test Method: AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity)
Verified Date: 08/18/2023
Date Tested: 08/18/2023
Submitted By Organization: CT HQ - Sacramento Aggregate Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: bang.d.nguyen@dot.ca.gov
Organization Phone: (916) 227-7204
General Comments for this Test: Bulk specific gravity (SSD) of fine aggregate, Bulk specific gravity of fine aggregate, Apparent specific gravity of fine aggregate, Apparent specific gravity of supplemental fines, Absorption of fine aggregate.
Test Result Compliance:
Additional Comments When Verified:
Bulk specific gravity 2.441
Bulk specific gravity (SSD Basis) 2.543
Apparent specific gravity 2.718
Absorption 4.2 %

Test 3 of 3

DIME Test ID: 2023-07-25-75-3
Test Method: AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)
Verified Date: 08/18/2023
Date Tested: 08/18/2023
Submitted By Organization: CT HQ - Sacramento Aggregate Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: bang.d.nguyen@dot.ca.gov
Organization Phone: (916) 227-7204
General Comments for this Test: Bulk Specific Gravity (Oven Dry) of Coarse Aggregate-Absorption of Coarse Aggregate.
Test Result Compliance:
Additional Comments When Verified:
Basis for relative density testing Bulk
Specific Gravity 2.584
Absorption 1.9 %