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Sample Record for 2023-08-24-23

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

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: 2023-08-24-23
TL Number from the TL Form:
Sample Submitted By Organization: Kleinfelder, Incorporated - Los Angeles
Sample Organization Contact: (909) 833-5780
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 08/24/2023
Date that the sample was received by the laboratory/organization performing the testing: 08/25/2023
The quantity of what the sample constitutes: 800
A brief description of the sample: Coldfeed Blend
From where was the sample collected: Supplier
Laboratory sample identification: 23-08-008
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: All American Asphalt - 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: Conveyor Belt
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 1/2 inch
The concrete mix design number: 106836
Lot number:
Sublot number:
Aggregate Mix Number:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2023-08-24-23-1
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: 08/28/2023
Date Tested: 08/25/2023
Submitted By Organization: Kleinfelder, Incorporated - Los Angeles
Organization Address: 620 South Magnolia Avenue, Building G,
Organization City: Ontario
Organization State: CA
Organization Zipcode: 91762
Organization Email: mdorsch@kleinfelder.com
Organization Phone: (909) 833-5780
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sand Equivalent 72

Test 2 of 2

DIME Test ID: 2023-08-24-23-2
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 08/28/2023
Date Tested: 08/25/2023
Submitted By Organization: Kleinfelder, Incorporated - Los Angeles
Organization Address: 620 South Magnolia Avenue, Building G,
Organization City: Ontario
Organization State: CA
Organization Zipcode: 91762
Organization Email: mdorsch@kleinfelder.com
Organization Phone: (909) 833-5780
General Comments for this Test:
Test Result Compliance:
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 100 %
Cumulative percent passing the 3/4 in. sieve 100 %
Cumulative percent passing the 1/2 in. sieve 94 %
Cumulative percent passing the 3/8 in. sieve 83 %
Cumulative percent passing the #4 sieve 46 %
Cumulative percent passing the #8 sieve 27 %
Cumulative percent passing the #16 sieve 14 %
Cumulative percent passing the #30 sieve 10 %
Cumulative percent passing the #50 sieve 8 %
Cumulative percent passing the #100 sieve 5 %
Cumulative percent passing the #200 sieve 3.8 %