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Sample Record for 2023-10-05-78

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Project Information

Project ID: 994812 DEA: 042K7204 EFIS: 0417000014 QA Service Level: 1
DIST-CO-RTE-PM: 04-CC-4-R14.3/24.3
Work Description: Pvmt rehabilitation, slab repl, ADA curb ramp and install guardrail.
Location Description: On state highway in Contra Costa County in and near Concord and Pittsburg from 0.3 miles east of Peralta Road Undercrossing to Loveridge Road Overcrossing.
Contractor Name: O.C. Jones & Sons, Inc. (Victor Babbitt)
Contractor Address: 1520 Fourth Street, Berkeley, CA 94710
Resident Engineer: Rabi Mukherjee Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-10-05-78
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - Concord Field Laboratory
Sample Organization Contact: (510) 714-7019
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 10/05/2023
Date that the sample was received by the laboratory/organization performing the testing: 10/23/2023
The quantity of what the sample constitutes: LOT 1 SUBLOT 10
A brief description of the sample: 3/4-INCH RHMA-G
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Teichert Vernalis Drier Drum Plant

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-39-0041
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: Sample Pickup from Plant
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: 1
Sublot number: 10
Aggregate Mix Number: 30240532510A
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2023-10-05-78-3
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: 11/20/2023
Date Tested: 10/23/2023
Submitted By Organization: CT D04 - Concord Field Laboratory
Organization Address: 2525 Stanwell Drive, Suite 100,
Organization City: Concord
Organization State: CA
Organization Zipcode: 94520
Organization Email: gurind.joshi@dot.ca.gov
Organization Phone: (510) 714-7019
General Comments for this Test: Teichert Vernalis Drier Drum Plant LOT 1 SUBLOT 10 S.E. PASSED
Test Result Compliance: complies
Additional Comments When Verified:
Sand Equivalent 76

Test 2 of 2

DIME Test ID: 2023-10-05-78-4
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 11/20/2023
Date Tested: 10/23/2023
Submitted By Organization: CT D04 - Concord Field Laboratory
Organization Address: 2525 Stanwell Drive, Suite 100,
Organization City: Concord
Organization State: CA
Organization Zipcode: 94520
Organization Email: gurind.joshi@dot.ca.gov
Organization Phone: (510) 714-7019
General Comments for this Test: Teichert Vernalis Drier Drum Plant LOT 1 SUBLOT 10 Test PASSED
Test Result Compliance: complies
Additional Comments When Verified:
What type of gradation is being tested? Combined Gradation
Cumulative percent passing the 2 in. sieve no data0 %
Cumulative percent passing the 1 1/2 in. sieve no data0 %
Cumulative percent passing the 1 in. sieve 100 %
Cumulative percent passing the 3/4 in. sieve 98 %
Cumulative percent passing the 1/2 in. sieve 84 %
Cumulative percent passing the 3/8 in. sieve 66 %
Cumulative percent passing the #4 sieve 28 %
Cumulative percent passing the #8 sieve 13 %
Cumulative percent passing the #16 sieve 7 %
Cumulative percent passing the #30 sieve 5 %
Cumulative percent passing the #50 sieve 3 %
Cumulative percent passing the #100 sieve 2 %
Cumulative percent passing the #200 sieve 1.6 %

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
2023-10-05-78-1AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent)11/20/2023Not scheduledIGNACIO ARECHIGACT D04 - Concord Field LaboratoryTeichert Vernalis Drier Drum Plant LOT 1 SUBLOT 9 S.E. PASSED
2023-10-05-78-2AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)11/20/2023Not scheduledIGNACIO ARECHIGACT D04 - Concord Field LaboratoryTeichert Vernalis Drier Drum Plant LOT 1 SUBLOT 9 Test PASSED