Project Information

Project ID: 994657 DEA: 09382104 EFIS: 0919000035 QA Service Level: 1

DIST-CO-RTE-PM: 09-INY-168-17.5/17.8

Work Description: PLACE HMA AND CONSTRUCT CONCRETE CURB RAMPS AND SIDEWALK.

Location Description: INYO COUNTY IN AND NEAR BISHOP FROM 0.1 MILE WEST OF PIONEER LANE TO SUNLAND DRIVE

Contractor Name: INTERSTATE CIVIL CONSTRUCTION

Contractor Address: 1253 Evergreen Rd, Suite 2, Wrightwood, CA 92397.

Resident Engineer: Adam Zumstein Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2024-06-13-5

TL Number from the TL Form:

Sample Submitted By Organization: CT D09 - Bishop Field Laboratory

Sample Organization Contact: (760) 872-5211

Type of Sample: Acceptance

Type of Material: Aggregate

Sample Taken Date: 06/13/2024

Date that the sample was received by the laboratory/organization performing the testing: 06/13/2024

The quantity of what the sample constitutes: 1 bag

A brief description of the sample: Class II Base

From where was the sample collected: Job Site

Laboratory sample identification: CIIB 4

Structure unique identifier:

Structure name:

The fabricator/manufacturer/facility name: 7/11 Materials

Material Information

Source Identification (SMARA, name of Pit or Job Site): 7/11 Mummy Pit

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: transversely across the roadway

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: 2024-06-13-5-1

Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)

Verified Date: 06/20/2024

Date Tested: 06/17/2024

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-04

Test Result Compliance: does not comply

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	97 %
Cumulative percent passing the 1/2 in. sieve	85 %
Cumulative percent passing the 3/8 in. sieve	80 %
Cumulative percent passing the #4 sieve	67 %
Cumulative percent passing the #8 sieve	53 %
Cumulative percent passing the #16 sieve	38 %
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	7.1 %

Test 2 of 2

DIME Test ID: 2024-06-13-5-2

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)