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Sample Record for 2023-12-11-32

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Project Information

Project ID: 994949 DEA: 043Q5504 EFIS: 0419000223 QA Service Level: 1
DIST-CO-RTE-PM: 04-MRN-37,101,131-VAR
Work Description: PLACE POLYESTER CONCRETE OVERLAY AND CONSTRUCT APPROACH SLABS.
Location Description: MARIN COUNTY AT VARIOUS LOCATIONS
Contractor Name: American Civil Constructors West Coast LLC (Kaitlyn Howisey)
Contractor Address: 2990 Bay Vista Court, Benicia, CA 94510-1246
Resident Engineer: Dawit Habteselassie Structure Rep.: Cliff Law

Sample Information

DIME Sample ID: 2023-12-11-32
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: 12/11/2023
Date that the sample was received by the laboratory/organization performing the testing: 12/13/2023
The quantity of what the sample constitutes: Sample 1 of the day
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: Granite Rock Redwood City

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-35-0012::A.R. WILSON QUARRY
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 @ 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:
Sublot number:
Aggregate Mix Number: 938
Test results on following page(s): 3

Test Results

Test 1 of 3

DIME Test ID: 2023-12-11-32-1
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: 12/19/2023
Date Tested: 12/13/2023
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: Sand=4.0 Clay=4.9 S.E.=82 PASSED
Test Result Compliance: complies
Additional Comments When Verified:
Sand Equivalent 82

Test 2 of 3

DIME Test ID: 2023-12-11-32-2
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 12/19/2023
Date Tested: 12/13/2023
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: Sample 1 of the day Granite Rock Redwood City Drier Drum Plant
Test Result Compliance: complies
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 99 %
Cumulative percent passing the 3/8 in. sieve 89 %
Cumulative percent passing the #4 sieve 67 %
Cumulative percent passing the #8 sieve 48 %
Cumulative percent passing the #16 sieve 32 %
Cumulative percent passing the #30 sieve 18 %
Cumulative percent passing the #50 sieve 9 %
Cumulative percent passing the #100 sieve 5 %
Cumulative percent passing the #200 sieve 3.1 %

Test 3 of 3

DIME Test ID: 2023-12-11-32-3
Test Method: AASHTO T255-0: Standard Method of Test for Total Evaporable Moisture Content of Aggregate by Drying
Verified Date: 12/19/2023
Date Tested: 12/13/2023
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: Wet Weight= 6189 Dry Weight= 5840 Moisture %=6.0
Test Result Compliance: complies
Additional Comments When Verified:
Total evaporable moisture content 6 %