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Sample Record for 2024-06-04-2

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

Project Information

Project ID: 994397 DEA: 073393U4 EFIS: 0722000031 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-605-R11.4/R19.5
Work Description: CONSTRUCT DPPIA DEVICES AND MODIFY LIGHTING SYSTEMS.
Location Description: LOS ANGELES COUNTY AT VARIOUS LOCATIONS FROM 0.1 MILE SOUTH OF SLAUSON AVENUE UNDERCROSSING TO 0.5 MILE NORTH OF VALLEY BOULEVARD UNDERCROSSING
Contractor Name: Chumo Construction
Contractor Address: 14425 Joanbridge St, Baldwin Park, CA 91706
Resident Engineer: Peter Lee Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2024-06-04-2
TL Number from the TL Form: C006789
Sample Submitted By Organization: CT D07 - Plant Services
Sample Organization Contact: 562-345-3126
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 06/04/2024
Date that the sample was received by the laboratory/organization performing the testing: 06/04/2024
The quantity of what the sample constitutes: 60 Tons
A brief description of the sample: 3/4 AC Aggregate
From where was the sample collected: Manufacturer
Laboratory sample identification: 021
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: All American Asphalt-Irwindale

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-33-0005
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: Sampled from truck
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: 2024-06-04-2-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 06/12/2024
Date Tested: 06/05/2024
Submitted By Organization: CT D07 - Plant Services
Organization Address: 13230 East Firestone Boulevard, Suite G,
Organization City: Santa Fe Springs
Organization State: CA
Organization Zipcode: 90670
Organization Email: victor.zengler@dot.ca.gov
Organization Phone: (562) 345-3126
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
What type of gradation is being tested? HMA Gradation
Cumulative percent passing the 2 in. sieve no data
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 97 %
Cumulative percent passing the 1/2 in. sieve 87 %
Cumulative percent passing the 3/8 in. sieve 78 %
Cumulative percent passing the #4 sieve 51 %
Cumulative percent passing the #8 sieve 33 %
Cumulative percent passing the #16 sieve 23 %
Cumulative percent passing the #30 sieve 16 %
Cumulative percent passing the #50 sieve 11 %
Cumulative percent passing the #100 sieve 7 %
Cumulative percent passing the #200 sieve 5.2 %

Test 2 of 2

DIME Test ID: 2024-06-04-2-2
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: 06/12/2024
Date Tested: 06/05/2024
Submitted By Organization: CT D07 - Plant Services
Organization Address: 13230 East Firestone Boulevard, Suite G,
Organization City: Santa Fe Springs
Organization State: CA
Organization Zipcode: 90670
Organization Email: victor.zengler@dot.ca.gov
Organization Phone: (562) 345-3126
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Sand Equivalent 70