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Sample Record for 2023-09-05-41

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Project Information

Project ID: 994599 DEA: 081N1604 EFIS: 0822000106 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-40-R20.0/R28.1
Work Description: RHMA, HIGH DENSITY POLYURETHANE INJECTION, AND COLD PLANE AC PVMT.
Location Description: SAN BERNARDINO COUNTY NEAR BARSTOW FROM 0.3 MILE WEST OF NEWBERRY ROAD OVERCROSSING TO DESERT OASIS REST AREA
Contractor Name: SULLY-MILLER CONTRACTING COMPANY
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-09-05-41
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Verification
Type of Material: Aggregate
Sample Taken Date: 09/05/2023
Date that the sample was received by the laboratory/organization performing the testing: 09/11/2023
The quantity of what the sample constitutes: 11 Bags Of Bin Agg., 3 Bags Comb. Agg., 1 Bag each Of Scrap &Hi-Nat
A brief description of the sample: JMF 3/4" RHMA-G-SP, 1.0% LSM
From where was the sample collected: Manufacturer
Laboratory sample identification: 0467G-23
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Blue Diamond-Victorville

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-36-0046, 91-36-0022
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: Belt Cut at Blue Diamond Victorville Plant
Where the material sample would have been placed if not sampled: Asphalt Paving
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number: 300072-LSM
Lot number:
Sublot number:
Aggregate Mix Number:
Test results on following page(s): 8

Test Results

Test 1 of 8

DIME Test ID: 2023-09-05-41-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 11/01/2023
Date Tested: 09/16/2023
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: (909) 829-3029
General Comments for this Test: Combined L.T. Aggregate Gradation
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 97 %
Cumulative percent passing the 1/2 in. sieve 86 %
Cumulative percent passing the 3/8 in. sieve 70 %
Cumulative percent passing the #4 sieve 24 %
Cumulative percent passing the #8 sieve 17 %
Cumulative percent passing the #16 sieve 12 %
Cumulative percent passing the #30 sieve 9 %
Cumulative percent passing the #50 sieve 6 %
Cumulative percent passing the #100 sieve 3 %
Cumulative percent passing the #200 sieve 2.2 %

Test 2 of 8

DIME Test ID: 2023-09-05-41-2
Test Method: AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity)
Verified Date: 11/01/2023
Date Tested: 09/13/2023
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: (909) 829-3029
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Bulk specific gravity 2.530
Bulk specific gravity (SSD Basis) 2.565
Apparent specific gravity 2.624
Absorption 1.4 %

Test 3 of 8

DIME Test ID: 2023-09-05-41-3
Test Method: AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)
Verified Date: 11/01/2023
Date Tested: 09/13/2023
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: (909) 829-3029
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Basis for relative density testing Bulk
Specific Gravity 2.688
Absorption 1.1 %

Test 4 of 8

DIME Test ID: 2023-09-05-41-4
Test Method: AASHTO T96-02r10: Standard Method of Test for Resistance to Degradation of Small-Size Coarse Aggregate by Abrasion and Impact in the Los Angeles Machine (Los Angeles Rattler)
Verified Date: 11/01/2023
Date Tested: 09/14/2023
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: (909) 829-3029
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Grading designation C
Mass of sample on No.12 sieve (after 500 revolutions) 3323 grams
Percent loss after 100 revolutions 8 %
Percent loss after 500 revolutions 34 %

Test 5 of 8

DIME Test ID: 2023-09-05-41-5
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: 11/01/2023
Date Tested: 09/15/2023
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: (909) 829-3029
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sand Equivalent 84

Test 6 of 8

DIME Test ID: 2023-09-05-41-6
Test Method: AASHTO T304-11: Standard Method of Test for Uncompacted Void Content of Fine Aggregate (Fine of Crushed Particles)
Verified Date: 11/01/2023
Date Tested: 09/16/2023
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: (909) 829-3029
General Comments for this Test: The FAA is below 45
Test Result Compliance: does not comply
Additional Comments When Verified:
What test method is performed? Method A
Bulk dry specific gravity 2.53
Average uncompacted voids 41.7 %

Test 7 of 8

DIME Test ID: 2023-09-05-41-7
Test Method: AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)
Verified Date: 11/01/2023
Date Tested: 09/16/2023
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: (909) 829-3029
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Method 1 - Combined Fracture Determination
Aggregate Size and Fracture Type Coarse 1 and 2 Faced and Fine 1 Faced
Percentage of fractured, coarse, 2 faced particles tested 100 %
Percentage of fractured, coarse, 1 faced particles tested 100 %
Percentage of fractured, fine, 1 faced particles tested 100 %

Test 8 of 8

DIME Test ID: 2023-09-05-41-8
Test Method: ASTM D4791-10: Standard Test Method for Flat Particles, Elongated Particles, or Flat and Elongated Particles in Coarse Aggregate (Withdrawn 2019) (Flat and Elongated Particles)
Verified Date: 11/01/2023
Date Tested: 09/16/2023
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: (909) 829-3029
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Method B
Determination By Mass
Dimensional ratio used 5:1
Weighted percentage of particles (by mass) that were flat and elongated 3 %
Weighted percentage of particles (by mass) that were not flat and elongated 97 %