Project Information

Project ID: 214493 DEA: 07311704 EFIS: 0715000013 QA Service Level: 1

DIST-CO-RTE-PM: 07-LA-134-0.0/R13.3

Work Description: CONCRETE SLAB REPLACEMENT, HMA PAVING, ELECTRICAL AND LANDSCAPE WORK.

Location Description: LOS ANGELES COUNTY IN LOS ANGELES, BURBANK, GLENDALE AND PASADENA FROM ROUTE 101/134 SEPARATION TO JUNCTION OF ROUTE 210/710

Contractor Name: PETERSON-CHASE GENERAL ENGINEERING CONSTRUCTION, INC.

Contractor Address: 16351 Construction Circle West, Irvine, CA 92606-4414

Resident Engineer: David Ayala Vanegas Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-08-21-19

TL Number from the TL Form:

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: 08/21/2023

Date that the sample was received by the laboratory/organization performing the testing: 08/21/2023

The quantity of what the sample constitutes: 1 Bag of Coldfeed Aggregate

A brief description of the sample: 1/2" RHMA-G

From where was the sample collected: Source

Laboratory sample identification:

Structure unique identifier:

Structure name:

The fabricator/manufacturer/facility name: AAA - Irwindale

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-33-0005

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: Coldfeed Chute

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:

Sublot number:

Aggregate Mix Number:

Test Results

Test 1 of 2

DIME Test ID: 2023-08-21-19-1

Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)

Verified Date: 08/31/2023

Date Tested: 08/21/2023

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:

What type of gradation is being tested?	HMA Gradation
Cumulative percent passing the 2 in. sieve	no data
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	95 %
Cumulative percent passing the 3/8 in. sieve	81 %
Cumulative percent passing the #4 sieve	41 %
Cumulative percent passing the #8 sieve	21 %
Cumulative percent passing the #16 sieve	13 %
Cumulative percent passing the #30 sieve	9 %
Cumulative percent passing the #50 sieve	7 %
Cumulative percent passing the #100 sieve	5 %
Cumulative percent passing the #200 sieve	3.5 %

Test 2 of 2

DIME Test ID: 2023-08-21-19-2

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)