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Sample Record for 2023-12-13-39

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

Project Information

Project ID: 993424 DEA: 04281204 EFIS: 0400000769 QA Service Level: 1
DIST-CO-RTE-PM: 04-NAP-29,221-5.5/6.7,0.0/0.2
Work Description: HMA, RDWY EXCAVATION, STRUCTURAL CONC AND MODIFYING LIGHTING SYSTEMS.
Location Description: NAPA COUNTY NEAR NAPA ON ROUTE 29 FROM 0.7 MILE SOUTH TO 0.5 MILE NORTH OF ROUTE 221 AND ON ROUTE 221 FROM 0.2 MILE NORTH OF ROUTE 29 TO ROUTE 29
Contractor Name: Ghilloti Construction Co.
Contractor Address: 246 Ghilloti Ave, Santa Rosa CA 95407
Resident Engineer: Darren Isada Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-12-13-39
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: 12/13/2023
Date that the sample was received by the laboratory/organization performing the testing: 12/20/2023
The quantity of what the sample constitutes: Sample 1 of the day
A brief description of the sample: 3/4-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: Vulcan Vallejo Batch Plant

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-48-0002::LAKE HERMAN 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: 3/4 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number: 411101510LB0221
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2023-12-13-39-3
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: 12/22/2023
Date Tested: 12/20/2023
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: Sample 1 of the day Vulcan Vallejo Batch Plant
Test Result Compliance: complies
Additional Comments When Verified:
Sand Equivalent 78

Test 2 of 2

DIME Test ID: 2023-12-13-39-4
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: 12/20/2023
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: Vulcan Vallejo Batch 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 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 96 %
Cumulative percent passing the 1/2 in. sieve 87 %
Cumulative percent passing the 3/8 in. sieve 75 %
Cumulative percent passing the #4 sieve 52 %
Cumulative percent passing the #8 sieve 37 %
Cumulative percent passing the #16 sieve 22 %
Cumulative percent passing the #30 sieve 12 %
Cumulative percent passing the #50 sieve 6 %
Cumulative percent passing the #100 sieve 4 %
Cumulative percent passing the #200 sieve 2.3 %

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
2023-12-13-39-1AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent)12/22/2023Not scheduledIGNACIO ARECHIGACT D04 - Concord Field LaboratorySample 1 of the day Vulcan Vallejo Batch Plant
2023-12-13-39-2AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)12/22/2023Not scheduledIGNACIO ARECHIGACT D04 - Concord Field LaboratorySample 1 of the day Vulcan Vallejo Batch Plant