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Sample Record for 2024-09-08-23

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

Project Information

Project ID: 1000251 DEA: 042Y5004 EFIS: 0423000122 QA Service Level: 1
DIST-CO-RTE-PM: 04-NAP-221-0.2/1.7
Work Description: COLD PLANE ASPHALT CONCRETE PAVEMENT AND OVERLAY WITH RHMA-G.
Location Description: NAPA COUNTY IN AND NEAR NAPA FROM 0.2 MILE NORTH OF JUNCTION ROUTE 12/29 TO 0.2 MILE NORTH OF BASALT ROAD UNDERCROSSING
Contractor Name: A. TEICHERT & SON, INC. DBA TEICHERT CONSTRUCTION
Contractor Address: Unknown
Resident Engineer: Anai Cazares-Ramirez Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2024-09-08-23
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - Concord Field Laboratory
Sample Organization Contact: (510) 714-7019
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 09/08/2024
Date that the sample was received by the laboratory/organization performing the testing: 09/10/2024
The quantity of what the sample constitutes: LOT 1 SUBLOT 3
A brief description of the sample: 1/2"RHMA-G
From where was the sample collected: Source
Laboratory sample identification: Con_24_656
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Teichert Woodland batch Plant

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-57-0006
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 @ Plant
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 1/2 inch
The concrete mix design number:
Lot number: 1
Sublot number: 3
Aggregate Mix Number: 30640542508P
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2024-09-08-23-1
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: 09/11/2024
Date Tested: 09/10/2024
Submitted By Organization: CT D04 - Concord Field Laboratory
Organization Address: 2525 Stanwell Drive, Suite 100,
Organization City: Concord
Organization State: CA
Organization Zipcode: 94520
Organization Email: gurind.joshi@dot.ca.gov
Organization Phone: (510) 714-7019
General Comments for this Test: Teichert Woodland batch Plant
Test Result Compliance: complies
Additional Comments When Verified:
Sand Equivalent 64

Test 2 of 2

DIME Test ID: 2024-09-08-23-2
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 09/11/2024
Date Tested: 09/10/2024
Submitted By Organization: CT D04 - Concord Field Laboratory
Organization Address: 2525 Stanwell Drive, Suite 100,
Organization City: Concord
Organization State: CA
Organization Zipcode: 94520
Organization Email: gurind.joshi@dot.ca.gov
Organization Phone: (510) 714-7019
General Comments for this Test: Teichert Woodland batch Plant
Test Result Compliance: complies
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 100 %
Cumulative percent passing the 1/2 in. sieve 99 %
Cumulative percent passing the 3/8 in. sieve 85 %
Cumulative percent passing the #4 sieve 33 %
Cumulative percent passing the #8 sieve 17 %
Cumulative percent passing the #16 sieve 11 %
Cumulative percent passing the #30 sieve 8 %
Cumulative percent passing the #50 sieve 6 %
Cumulative percent passing the #100 sieve 4 %
Cumulative percent passing the #200 sieve 2.5 %