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Sample Record for 2023-09-28-2

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

Project Information

Project ID: 995146 DEA: 061G1104 EFIS: 0623000147 QA Service Level: 1
DIST-CO-RTE-PM: 06-KIN-43-10.2/18.2
Work Description: Modifying signal and lighting systems.
Location Description: In Kings County near Hanford from 0.2 mile south of Kansas Avenue to route 43/198 separation.
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Ryan Wilson Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-09-28-2
TL Number from the TL Form:
Sample Submitted By Organization: CT D06 - Millbrook Field Laboratory
Sample Organization Contact: (559) 417-5341
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 09/28/2023
Date that the sample was received by the laboratory/organization performing the testing: 09/28/2023
The quantity of what the sample constitutes: 280 Tons
A brief description of the sample: 1/2" coldfeed
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: SPM AVENAL

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:
The plant number:
A detailed description of where the material sample was collected: coldfeed belt
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: 2
Sublot number: 9
Aggregate Mix Number:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2023-09-28-2-7
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 09/29/2023
Date Tested: 09/29/2023
Submitted By Organization: CT D06 - Millbrook Field Laboratory
Organization Address: 3240 North Millbrook Avenue,
Organization City: Fresno
Organization State: CA
Organization Zipcode: 93726
Organization Email: tomas.silva@dot.ca.gov
Organization Phone: (559) 417-5341
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 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 96 %
Cumulative percent passing the 3/8 in. sieve 83 %
Cumulative percent passing the #4 sieve 32 %
Cumulative percent passing the #8 sieve 18 %
Cumulative percent passing the #16 sieve 11 %
Cumulative percent passing the #30 sieve 7 %
Cumulative percent passing the #50 sieve 4 %
Cumulative percent passing the #100 sieve 3 %
Cumulative percent passing the #200 sieve 1.8 %

Test 2 of 2

DIME Test ID: 2023-09-28-2-8
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: 09/29/2023
Date Tested: 09/29/2023
Submitted By Organization: CT D06 - Millbrook Field Laboratory
Organization Address: 3240 North Millbrook Avenue,
Organization City: Fresno
Organization State: CA
Organization Zipcode: 93726
Organization Email: tomas.silva@dot.ca.gov
Organization Phone: (559) 417-5341
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Sand Equivalent 77

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
2023-09-28-2-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)09/28/2023Not scheduledArthur MillsCT D06 - Millbrook Field Laboratory
2023-09-28-2-2AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent)09/28/2023Not scheduledArthur MillsCT D06 - Millbrook Field Laboratory
2023-09-28-2-3AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)09/28/2023Not scheduledArthur MillsCT D06 - Millbrook Field Laboratory
2023-09-28-2-4AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent)09/28/2023Not scheduledArthur MillsCT D06 - Millbrook Field Laboratory
2023-09-28-2-5AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)09/28/2023Not scheduledArthur MillsCT D06 - Millbrook Field Laboratory
2023-09-28-2-6AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent)09/28/2023Not scheduledArthur MillsCT D06 - Millbrook Field Laboratory