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Sample Record for 2024-06-21-98

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

Project Information

Project ID: 995059 DEA: 081G6404 EFIS: 0816000046 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-395-R4.0/49.0
Work Description: REPLACE ASPHALT CONCRETE SURFACING, COLD PLANE AC PVMT AND RHMA.
Location Description: SAN BERNARDINO COUNTY AT VARIOUS LOCATIONS FROM ROUTE 15/395 SEPARATION TO 3.1 MILES NORTH OF ROUTE 58/395 SEPARATION
Contractor Name: SULLY-MILLER CONTRACTING COMPANY
Contractor Address: 135 S State College Blvd, Brea, Ca 92821
Resident Engineer: Shaun Loza Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2024-06-21-98
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Sample Organization Contact: 9512323690
Type of Sample: Acceptance
Type of Material: Aggregate
Sample Taken Date: 06/21/2024
Date that the sample was received by the laboratory/organization performing the testing: 06/22/2024
The quantity of what the sample constitutes: 121.22 Tons @ 20:59
A brief description of the sample: 3/4" RHMA-G
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Blue Diamond Materials - Victorville

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-36-0046 :: 91-36-0022
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 Cut at Blue Diamond Materials Victorville Plant
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: 300072 LSM
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2024-06-21-98-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 08/21/2024
Date Tested: 06/24/2024
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
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 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 88 %
Cumulative percent passing the 3/8 in. sieve 71 %
Cumulative percent passing the #4 sieve 26 %
Cumulative percent passing the #8 sieve 20 %
Cumulative percent passing the #16 sieve 15 %
Cumulative percent passing the #30 sieve 11 %
Cumulative percent passing the #50 sieve 7 %
Cumulative percent passing the #100 sieve 4 %
Cumulative percent passing the #200 sieve 2.9 %

Test 2 of 2

DIME Test ID: 2024-06-21-98-2
Test Method: AASHTO T255-0: Standard Method of Test for Total Evaporable Moisture Content of Aggregate by Drying
Verified Date: 08/21/2024
Date Tested: 06/24/2024
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Total evaporable moisture content 0.4 %