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Sample Record for 2024-04-25-13

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

Project Information

Project ID: 214135 DEA: 09213404 EFIS: 0900000030 QA Service Level: 1
DIST-CO-RTE-PM: 09-INY-395-29.9/41.8
Work Description: ROADWAY EXCAVATION, PLACE HMA (TYPE A), AND ALTERNATIVE PIPE CULVERT.
Location Description: INYO COUNTY NEAR OLANCHA AND CARTAGO FROM 1.4 MILES SOUTH OF LOS ANGELES AQUEDUCT BRIDGE TO 0.2 MILE SOUTH OF ASH CREEK BRIDGE
Contractor Name: FISHER SAND & GRAVEL CO.
Contractor Address: 1302 W DRIVERS WAY, TEPE, AZ. 85284
Resident Engineer: Kris Raber Structure Rep.: Sheila Reyes

Sample Information

DIME Sample ID: 2024-04-25-13
TL Number from the TL Form:
Sample Submitted By Organization: CT D09 - Bishop Field Laboratory
Sample Organization Contact: (760) 872-5211
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 04/25/2024
Date that the sample was received by the laboratory/organization performing the testing: 04/25/2024
The quantity of what the sample constitutes: 2000 cy
A brief description of the sample: Class II AB #75 - SL, first lift at 1609+73
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Fisher Sand and Gravel

Material Information

Source Identification (SMARA, name of Pit or Job Site): Jobsite
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: Windrow
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 on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2024-04-25-13-1
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: 05/03/2024
Date Tested: 04/26/2024
Submitted By Organization: CT D09 - Bishop Field Laboratory
Organization Address: 500 South Main Street,
Organization City: Bishop
Organization State: CA
Organization Zipcode: 93514
Organization Email: chris.talbot@dot.ca.gov
Organization Phone: (760) 872-0794
General Comments for this Test: AB# 75 Project: 09-213404 Material: Class 2 Base Date: 4/25/24 Sampled By: Jerid Kupelian Location: SL, first lift at 1609+73 Request fro Testing: SE and RVALUE
Test Result Compliance: complies
Additional Comments When Verified:
Sand Equivalent 65

Test 2 of 2

DIME Test ID: 2024-04-25-13-2
Test Method: CTM 301-March 2000: Method for Determining the Resistance "R" Value of Treated and Untreated Bases, Subbases, and Basement Soils by the Stabilometer
Verified Date: 05/03/2024
Date Tested: 04/26/2024
Submitted By Organization: CT D09 - Bishop Field Laboratory
Organization Address: 500 South Main Street,
Organization City: Bishop
Organization State: CA
Organization Zipcode: 93514
Organization Email: chris.talbot@dot.ca.gov
Organization Phone: (760) 872-0794
General Comments for this Test: AB-75
Test Result Compliance: complies
Additional Comments When Verified:
How will the R value be determined? By stabilometer
As Received Gradation, Percent Passing 3 in. sieve no data
As Received Gradation, Percent Passing 2 1/2 in. sieve no data
As Received Gradation, Percent Passing 2 in. sieve no data
As Received Gradation, Percent Passing 1 1/2 in. sieve no data
As Received Gradation, Percent Passing 1 in. sieve 100 %
As Received Gradation, Percent Passing 3/4 in. sieve 95 %
As Received Gradation, Percent Passing 1/2 in. sieve 82 %
As Received Gradation, Percent Passing 3/8 in. sieve 73 %
As Received Gradation, Percent Passing #4 sieve 53 %
As Received Gradation, Percent Passing #8 sieve 40 %
As Received Gradation, Percent Passing #16 sieve 30 %
As Received Gradation, Percent Passing #30 sieve 24 %
As Received Gradation, Percent Passing #50 sieve 18 %
As Received Gradation, Percent Passing #100 sieve 12 %
As Received Gradation, Percent Passing #200 sieve 8.2 %
As Used Gradation, Percent Passing 3 in. sieve no data
As Used Gradation, Percent Passing 2 1/2 in. sieve no data
As Used Gradation, Percent Passing 2 in. sieve no data
As Used Gradation, Percent Passing 1 1/2 in. sieve no data
As Used Gradation, Percent Passing 1 in. sieve 100 %
As Used Gradation, Percent Passing 3/4 in. sieve 100 %
As Used Gradation, Percent Passing 1/2 in. sieve 86 %
As Used Gradation, Percent Passing 3/8 in. sieve 77 %
As Used Gradation, Percent Passing #4 sieve 56 %
As Used Gradation, Percent Passing #8 sieve 42 %
As Used Gradation, Percent Passing #16 sieve 32 %
As Used Gradation, Percent Passing #30 sieve 25 %
As Used Gradation, Percent Passing #50 sieve 19 %
As Used Gradation, Percent Passing #100 sieve 13 %
As Used Gradation, Percent Passing #200 sieve 8.6 %
R value 85