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Sample Record for 2023-11-30-33

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

Project Information

Project ID: 994803 DEA: 043J0704 EFIS: 0415000077 QA Service Level: 1
DIST-CO-RTE-PM: 04-CC-80-10.1/13.5
Work Description: Remove PCC and AC, place PCP and AC Resurfacing.
Location Description: Construction on State Highway in Contra Costa County in Hercules and Crockett from Route 80/4 separation to 0.1 mile west of Crockett Viaduct.
Contractor Name: VANGUARD CONSTRUCTION, INC.
Contractor Address: 651 ENTERPRISE CT, LIVERMORE, CA 94550
Resident Engineer: Ta Seng Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-11-30-33
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - Richmond Field Laboratory
Sample Organization Contact: (510) 231-7151
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 11/30/2023
Date that the sample was received by the laboratory/organization performing the testing: 12/04/2023
The quantity of what the sample constitutes: LOT 3 SUBLOT 3
A brief description of the sample: 1/2-INCH HMA-SP Type A
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: County Asphalt Batch Plant

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-07-0003
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 Pick-Up From Plant
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: 3
Sublot number: 3
Aggregate Mix Number: L230620
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2023-11-30-33-3
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: 12/05/2023
Date Tested: 12/04/2023
Submitted By Organization: CT D04 - Richmond Field Laboratory
Organization Address: 3401 Regatta Boulevard,
Organization City: Richmond
Organization State: CA
Organization Zipcode: 94508
Organization Email: santiago.sequeira@dot.ca.gov
Organization Phone: (510) 385-7641
General Comments for this Test: LOT 3 SUBLOT 3 County Asphalt Batch Plant
Test Result Compliance: complies
Additional Comments When Verified:
Sand Equivalent 78

Test 2 of 2

DIME Test ID: 2023-11-30-33-4
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 12/05/2023
Date Tested: 12/04/2023
Submitted By Organization: CT D04 - Richmond Field Laboratory
Organization Address: 3401 Regatta Boulevard,
Organization City: Richmond
Organization State: CA
Organization Zipcode: 94508
Organization Email: santiago.sequeira@dot.ca.gov
Organization Phone: (510) 385-7641
General Comments for this Test: LOT 3 SUBLOT 3 County Asphalt Batch Plant
Test Result Compliance: does not comply
Additional Comments When Verified:
What type of gradation is being tested? Combined Gradation
Cumulative percent passing the 2 in. sieve 0 %
Cumulative percent passing the 1 1/2 in. sieve 0 %
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 95 %
Cumulative percent passing the 3/8 in. sieve 85 %
Cumulative percent passing the #4 sieve 63 %
Cumulative percent passing the #8 sieve 39 %
Cumulative percent passing the #16 sieve 22 %
Cumulative percent passing the #30 sieve 14 %
Cumulative percent passing the #50 sieve 9 %
Cumulative percent passing the #100 sieve 4 %
Cumulative percent passing the #200 sieve 3.1 %

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
2023-11-30-33-1AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent)12/05/2023Not scheduledIGNACIO ARECHIGACT D04 - Richmond Field LaboratoryLOT 3 SUBLOT 4 County Asphalt Batch Plant
2023-11-30-33-2AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)12/05/2023Not scheduledIGNACIO ARECHIGACT D04 - Richmond Field LaboratoryLOT 3 SUBLOT 4 County Asphalt Batch Plant