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Sample Record for 2023-10-26-91

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Project Information

Project ID: 993804 DEA: 043J0624 EFIS: 0419000534 QA Service Level: 1
DIST-CO-RTE-PM: 04-SM-101-16.5/23.0
Work Description: COLD PLANE AND PLACE HMA, REPLACE GUARDRAIL AND CURB RAMPS.
Location Description: SAN MATEO COUNTY AT VARIOUS LOCATION FROM BROADWAY OVERCROSSING TO 0.2 MILE NORTH OF OYSTER POINT BOULEVARD OVERCROSSING
Contractor Name: Bay Cities Paving & Grading, Inc. (David Nott)
Contractor Address: 1450 Civic Ct. Bldg B #400, Concord CA, 94520
Resident Engineer: Douglas Inori Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-10-26-91
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - Hayward Field Laboratory
Sample Organization Contact: (510) 723-0168
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 10/26/2023
Date that the sample was received by the laboratory/organization performing the testing: 10/27/2023
The quantity of what the sample constitutes: 750 Tons
A brief description of the sample: 3/4 RHMA-G Cold Feed Aggregate
From where was the sample collected: Supplier
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan-Pleasanton

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-01-0010
The fabricator's/manufacturer's product name for the sample: 226108
The fabricator/manufacturer designation for the sample:
The plant number:
A detailed description of where the material sample was collected: Plant Sampler
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: 3
Sublot number: 3
Aggregate Mix Number:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2023-10-26-91-1
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: 12/22/2023
Date Tested: 10/27/2023
Submitted By Organization: CT D04 - Hayward Field Laboratory
Organization Address: 21339 Cabot Boulevard,
Organization City: Hayward
Organization State: CA
Organization Zipcode: 94545
Organization Email: pamela.brown@dot.ca.gov
Organization Phone: (510) 385-8258
General Comments for this Test: Lot 3 Sublot 3
Test Result Compliance: complies
Additional Comments When Verified:
Sand Equivalent 52

Test 2 of 2

DIME Test ID: 2023-10-26-91-2
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 12/22/2023
Date Tested: 10/27/2023
Submitted By Organization: CT D04 - Hayward Field Laboratory
Organization Address: 21339 Cabot Boulevard,
Organization City: Hayward
Organization State: CA
Organization Zipcode: 94545
Organization Email: pamela.brown@dot.ca.gov
Organization Phone: (510) 385-8258
General Comments for this Test: Lot 3 Sublot 3
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 84 %
Cumulative percent passing the 3/8 in. sieve 69 %
Cumulative percent passing the #4 sieve 43 %
Cumulative percent passing the #8 sieve 18 %
Cumulative percent passing the #16 sieve 12 %
Cumulative percent passing the #30 sieve 9 %
Cumulative percent passing the #50 sieve 6 %
Cumulative percent passing the #100 sieve 4 %
Cumulative percent passing the #200 sieve 2.9 %