Project Information

Project ID: 994366 DEA: 044J9104 EFIS: 0416000010 QA Service Level: 1

DIST-CO-RTE-PM: 04-SCL-87-0.0/6.1

Work Description: Cold plane AC, paving with RHMA, upgrade median CB and curb ramp.

Location Description: CONSTRUCTION ON STATE HIGHWAY IN SANTA CLARA COUNTY IN SAN JOSE FROM ROUTE 85/87 SEPARATION TO 0.1 MILE NORTH OF JULIAN STREET UNDERCROSSING.

Contractor Name: O.C. Jones & Sons Inc. (Juan M. Hernandez)

Contractor Address: 1520 Fourth Street, Berkeley, CA 94710

Resident Engineer: Ali Nikzad Structure Rep.: STEVE GONG

Sample Information

DIME Sample ID: 2024-07-19-43

TL Number from the TL Form: C317-071924-1

Sample Submitted By Organization: CT D04 - San Jose Construction Field Laboratory

Sample Organization Contact: (510) 385-8171

Type of Sample: Quality Assurance

Type of Material: Aggregate

Sample Taken Date: 07/19/2024

Date that the sample was received by the laboratory/organization performing the testing: 07/22/2024

The quantity of what the sample constitutes: 1 bag

A brief description of the sample: 1/2" RHMA-G WMA

From where was the sample collected: Supplier

Laboratory sample identification: SJ-071924-SA1

Structure unique identifier:

Structure name:

The fabricator/manufacturer/facility name: Martin Marietta Sunol Drier Drum Plant

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-01-0011

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: Belt Stream at the Plant

Where the material sample would have been placed if not sampled:

Primary Aggregate Nominal Size: 1/2 inch

The concrete mix design number: 64S4BV-2401C

Lot number: 2

Sublot number: 19

Aggregate Mix Number:

Test Results

Test 1 of 2

DIME Test ID: 2024-07-19-43-1

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

Verified Date: 07/31/2024

Date Tested: 07/22/2024

Submitted By Organization: CT D04 - San Jose Construction Field Laboratory

Organization Address: 1007 Knox Avenue,

Organization City: San Jose

Organization State: CA

Organization Zipcode: 95122

Organization Email: fernando.vega@dot.ca.gov

Organization Phone: (510) 385-8171

General Comments for this Test: Lot 2 - Sublot 19

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	100 %
Cumulative percent passing the 1/2 in. sieve	95 %
Cumulative percent passing the 3/8 in. sieve	84 %
Cumulative percent passing the #4 sieve	29 %
Cumulative percent passing the #8 sieve	18 %
Cumulative percent passing the #16 sieve	12 %
Cumulative percent passing the #30 sieve	9 %
Cumulative percent passing the #50 sieve	6 %
Cumulative percent passing the #100 sieve	3 %
Cumulative percent passing the #200 sieve	2.1 %

Test 2 of 2

DIME Test ID: 2024-07-19-43-2

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)