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Sample Record for 2024-03-17-19

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

Project Information

Project ID: 994686 DEA: 051K4604 EFIS: 0518000210 QA Service Level: 1
DIST-CO-RTE-PM: 05-SLO-46-29.7/32.2
Work Description: COLD PLANE, PLACE HMA, RHMA, CONC PVMT, MODIFY SIGNAL AND LIGHTING.
Location Description: SAN LUIS OBISPO COUNTY IN PASO ROBLES FROM 300 FEET WEST OF ROUTE 101/46 SEPARATION TO 0.1 MILE EAST OF AIRPORT ROAD
Contractor Name: PAPICH CONSTRUCTION COMPANY, INC.
Contractor Address: 800 FARROLL RD, GROVER BEACH, CA 93433
Resident Engineer: Michael Schmidt Structure Rep.: Ray Barajas

Sample Information

DIME Sample ID: 2024-03-17-19
TL Number from the TL Form:
Sample Submitted By Organization: CT D05 - Paso Robles Field Laboratory
Sample Organization Contact: 1 (209) 610-9363
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 03/17/2024
Date that the sample was received by the laboratory/organization performing the testing: 03/17/2024
The quantity of what the sample constitutes: L1 SL1-750 Tons
A brief description of the sample: 3/4 HMA-A-15% Rap LAS
From where was the sample collected: Distributor
Laboratory sample identification: 0240317-L1SL1
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: SPM Templeton

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-10-0006
The fabricator's/manufacturer's product name for the sample: SPM Templeton
The fabricator/manufacturer designation for the sample: Continuous plant
The plant number:
A detailed description of where the material sample was collected: Conveyor Belt
Where the material sample would have been placed if not sampled: Roadway
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number:
Lot number: 1
Sublot number: 1
Aggregate Mix Number: L220596T
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2024-03-17-19-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 04/03/2024
Date Tested: 03/17/2024
Submitted By Organization: CT D05 - Paso Robles Field Laboratory
Organization Address: 9191 Sand Diego Way, Space #9,
Organization City: Atascadero
Organization State: CA
Organization Zipcode: 93422
Organization Email: isaac.larey.chezem@dot.ca.gov
Organization Phone: (805) 234-6493
General Comments for this Test: Combined Gradation passed with Rap results.
Test Result Compliance: complies
Additional Comments When Verified:
What type of gradation is being tested? HMA Gradation
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 81 %
Cumulative percent passing the 3/8 in. sieve 0 %
Cumulative percent passing the #4 sieve 45 %
Cumulative percent passing the #8 sieve 30 %
Cumulative percent passing the #16 sieve 0 %
Cumulative percent passing the #30 sieve 12 %
Cumulative percent passing the #50 sieve 0 %
Cumulative percent passing the #100 sieve 0 %
Cumulative percent passing the #200 sieve 3.4 %