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Sample Record for 2023-08-22-82

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

Project Information

Project ID: 994614 DEA: 112N1624 EFIS: 1122000133 QA Service Level: 1
DIST-CO-RTE-PM: 11-IMP,SD-7,15,52,56,67,etc.-Var
Work Description: PAVEMENT DELINEATION AND MARKING.
Location Description: IMPERIAL AND SAN DIEGO COUNTIES AT VARIOUS LOCATIONS
Contractor Name: STERNDAHL ENTERPRISES LLC
Contractor Address: 11861 Branford St., San Valley, CA 91352
Resident Engineer: Benjamin Haney Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-08-22-82
TL Number from the TL Form:
Sample Submitted By Organization: CT D11 - District 11 Materials Laboratory
Sample Organization Contact: (858) 518-8709
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 08/22/2023
Date that the sample was received by the laboratory/organization performing the testing: 01/23/2024
The quantity of what the sample constitutes: 2 bags
A brief description of the sample: Micro-surfacing
From where was the sample collected: Job Site
Laboratory sample identification: 9419-S
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Coachella Valley Aggregates

Material Information

Source Identification (SMARA, name of Pit or Job Site): N/A
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: Micro-surfacing
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/8 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:
Test results on following page(s): 4

Test Results

Test 1 of 4

DIME Test ID: 2023-08-22-82-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 02/06/2024
Date Tested: 01/25/2024
Submitted By Organization: CT D11 - District 11 Materials Laboratory
Organization Address: 4050 Taylor Street,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92110
Organization Email: benjamin.haney@dot.ca.gov
Organization Phone: (858) 688-1595
General Comments for this Test: Pass
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 100 %
Cumulative percent passing the 1/2 in. sieve 100 %
Cumulative percent passing the 3/8 in. sieve 100 %
Cumulative percent passing the #4 sieve 86 %
Cumulative percent passing the #8 sieve 59 %
Cumulative percent passing the #16 sieve 37 %
Cumulative percent passing the #30 sieve 25 %
Cumulative percent passing the #50 sieve 16 %
Cumulative percent passing the #100 sieve 10 %
Cumulative percent passing the #200 sieve 5.5 %

Test 2 of 4

DIME Test ID: 2023-08-22-82-2
Test Method: AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)
Verified Date: 02/06/2024
Date Tested: 01/25/2024
Submitted By Organization: CT D11 - District 11 Materials Laboratory
Organization Address: 4050 Taylor Street,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92110
Organization Email: benjamin.haney@dot.ca.gov
Organization Phone: (858) 688-1595
General Comments for this Test: Pass
Test Result Compliance: complies
Additional Comments When Verified:
Method 1 - Combined Fracture Determination
Aggregate Size and Fracture Type Coarse 2 Faced and Fine 1 Faced
Percentage of questionable, coarse, 2 faced particles tested no data0 %
Percentage of questionable, fine, 1 faced particles tested no data0 %
Percentage of fractured, coarse, 2 faced particles tested 100 %
Percentage of fractured, fine, 1 faced particles tested 99 %

Test 3 of 4

DIME Test ID: 2023-08-22-82-3
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: 02/06/2024
Date Tested: 01/25/2024
Submitted By Organization: CT D11 - District 11 Materials Laboratory
Organization Address: 4050 Taylor Street,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92110
Organization Email: benjamin.haney@dot.ca.gov
Organization Phone: (858) 688-1595
General Comments for this Test: Complies minimum 60%
Test Result Compliance: complies
Additional Comments When Verified:
Sand Equivalent 67

Test 4 of 4

DIME Test ID: 2023-08-22-82-4
Test Method: AASHTO T96-02r10: Standard Method of Test for Resistance to Degradation of Small-Size Coarse Aggregate by Abrasion and Impact in the Los Angeles Machine (Los Angeles Rattler)
Verified Date: 02/06/2024
Date Tested: 01/25/2024
Submitted By Organization: CT D11 - District 11 Materials Laboratory
Organization Address: 4050 Taylor Street,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92110
Organization Email: benjamin.haney@dot.ca.gov
Organization Phone: (858) 688-1595
General Comments for this Test: Complies
Test Result Compliance: complies
Additional Comments When Verified:
Grading designation D
Mass of sample on No.12 sieve (after 500 revolutions) 3343 grams
Percent loss after 100 revolutions 10 %
Percent loss after 500 revolutions 33 %