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Sample Record for 2023-08-29-88

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

Project Information

Project ID: 994610 DEA: 112N1204 EFIS: 1121000149 QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-8,15,67-VARIOUS
Work Description: MICRO-SURFACING, COLD PLANE, OVERLAY, STRIPING, & SHOULDER BACKING.
Location Description: SAN DIEGO COUNTY AT VARIOUS LOCATIONS
Contractor Name: PAVEMENT COATINGS CO.
Contractor Address: 10240 San Sevaine Way, Jurapa Valley, CA 91752
Resident Engineer: Michael Stewart Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-08-29-88
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: 08/29/2023
Date that the sample was received by the laboratory/organization performing the testing: 02/23/2024
The quantity of what the sample constitutes: 1 bag
A brief description of the sample: 3/4" HMA-SP
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Otay

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-37-0035
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: Field
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:

Test Results

Test 1 of 2

DIME Test ID: 2023-08-29-88-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 03/04/2024
Date Tested: 02/28/2024
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:
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 95 %
Cumulative percent passing the 1/2 in. sieve 85 %
Cumulative percent passing the 3/8 in. sieve 68 %
Cumulative percent passing the #4 sieve 51 %
Cumulative percent passing the #8 sieve 33 %
Cumulative percent passing the #16 sieve 21 %
Cumulative percent passing the #30 sieve 14 %
Cumulative percent passing the #50 sieve 9 %
Cumulative percent passing the #100 sieve 6 %
Cumulative percent passing the #200 sieve 3.9 %

Test 2 of 2

DIME Test ID: 2023-08-29-88-2
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: 03/04/2024
Date Tested: 02/28/2024
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:
Test Result Compliance: complies
Additional Comments When Verified:
Sand Equivalent 58