Project Information

Project ID: 215425 DEA: 06360244 EFIS: 0613000005 QA Service Level: 1

DIST-CO-RTE-PM: 06-TUL-99-30.6/35.2

Work Description: Widen Freeway & Bridge Construction (Concrete Bridge)

Location Description:

Contractor Name: SECURITY PAVING COMPANY, INC.

Contractor Address: 13170 TELFAIR AVE, SYLMAR, CA, 91342

Resident Engineer: Javier Huerta Structure Rep.: Ramandeep Guraya

Sample Information

DIME Sample ID: 2023-10-27-53

TL Number from the TL Form:

Sample Submitted By Organization: CT D06 - Visalia Field Laboratory

Sample Organization Contact: (559) 341-4165

Type of Sample: Verification

Type of Material: Aggregate

Sample Taken Date: 10/27/2023

Date that the sample was received by the laboratory/organization performing the testing: 10/27/2023

The quantity of what the sample constitutes: 2267 Tons

A brief description of the sample: 3/4" HMA -A R15% PG 64-10

From where was the sample collected: Supplier

Laboratory sample identification:

Structure unique identifier:

Structure name:

The fabricator/manufacturer/facility name: Porterville Rock and Recycle PAI

Material Information

Source Identification (SMARA, name of Pit or Job Site): 0613000005

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:

Lot number: 5

Sublot number: 14

Aggregate Mix Number:

Test Results

Test 1 of 2

DIME Test ID: 2023-10-27-53-1

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

Verified Date: 11/07/2023

Date Tested: 10/27/2023

Submitted By Organization: CT D06 - Visalia Field Laboratory

Organization Address: 8530 West Roosevelt Avenue,

Organization City: Visalia

Organization State: CA

Organization Zipcode: 93291

Organization Email: shoaib.ahmed@dot.ca.gov

Organization Phone: (559) 341-4165

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	100 %
Cumulative percent passing the 1/2 in. sieve	80 %
Cumulative percent passing the 3/8 in. sieve	63 %
Cumulative percent passing the #4 sieve	45 %
Cumulative percent passing the #8 sieve	31 %
Cumulative percent passing the #16 sieve	20 %
Cumulative percent passing the #30 sieve	14 %
Cumulative percent passing the #50 sieve	10 %
Cumulative percent passing the #100 sieve	7 %
Cumulative percent passing the #200 sieve	5.9 %

Test 2 of 2

DIME Test ID: 2023-10-27-53-2

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)