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Sample Record for 2023-10-29-3

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Project Information

Project ID: 214336 DEA: 07302404 EFIS: 0713000488 QA Service Level: 1
DIST-CO-RTE-PM: 07-VEN-101-37/40
Work Description: PADRE JUAN REHAB
Location Description: VEN 101
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 4820 McGrath Street, Suite 101, Ventura, CA 93003
Resident Engineer: Alfred Ira Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-10-29-3
TL Number from the TL Form: C102923C
Sample Submitted By Organization: CT D07 - Plant Services
Sample Organization Contact: 562-345-3126
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 10/29/2023
Date that the sample was received by the laboratory/organization performing the testing: 10/29/2023
The quantity of what the sample constitutes: 0-750 Tons
A brief description of the sample: 3/4" RHMA-G
From where was the sample collected: Manufacturer
Laboratory sample identification: KH217R
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Granite HMA, Santa Paula

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-19-0046
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: 3/4 inch
The concrete mix design number: JMF 1556
Lot number:
Sublot number:
Aggregate Mix Number: JMF 1556

Test Results

Test 1 of 2

DIME Test ID: 2023-10-29-3-1
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: 10/31/2023
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? 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 99 %
Cumulative percent passing the 1/2 in. sieve 82 %
Cumulative percent passing the 3/8 in. sieve 66 %
Cumulative percent passing the #4 sieve 22 %
Cumulative percent passing the #8 sieve 14 %
Cumulative percent passing the #16 sieve 10 %
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 1.6 %

Test 2 of 2

DIME Test ID: 2023-10-29-3-2
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)
Verified Date: 11/01/2023
Date Tested: 10/31/2023
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:
Sand Equivalent 80