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Sample Record for 2024-10-16-18

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Project Information

Project ID: 1000649 DEA: 061H3404 EFIS: 0625000042 QA Service Level: 1
DIST-CO-RTE-PM: 06-TUL-99-23.49
Work Description: BRIDGE REPAIR FOR BR #46 0192
Location Description: Tulare County along NB SR 99 at Avenue 184 OC, Bridge #46 0192.
Contractor Name: Yarbs Grading and Paving, Inc.
Contractor Address: P.O.Box 87 Fowler, CA 93625
Resident Engineer: Amir Zamanian Structure Rep.: Luis Guzman

Sample Information

DIME Sample ID: 2024-10-16-18
TL Number from the TL Form:
Sample Submitted By Organization: CT D06 - Visalia Field Laboratory
Sample Organization Contact: (559) 974-1304
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 10/16/2024
Date that the sample was received by the laboratory/organization performing the testing: 10/17/2024
The quantity of what the sample constitutes: 10 Box, 4 Bag, 2 Can
A brief description of the sample: 3/4 HMA Type A
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Porterville Rock and Recycle

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-54-0038
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: HMA Plant Cold Feed
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: 1
Sublot number: 2
Aggregate Mix Number:

Test Results

Test 1 of 3

DIME Test ID: 2024-10-16-18-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 10/17/2024
Date Tested: 10/17/2024
Submitted By Organization: CT D06 - Visalia Field Laboratory
Organization Address: 8530 W Roosevelt Ave,
Organization City: Visalia
Organization State: CA
Organization Zipcode: 93291
Organization Email: paul.klinker@dot.ca.gov
Organization Phone: (559) 974-1304
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 81 %
Cumulative percent passing the 3/8 in. sieve 71 %
Cumulative percent passing the #4 sieve 49 %
Cumulative percent passing the #8 sieve 35 %
Cumulative percent passing the #16 sieve 24 %
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 4.8 %

Test 2 of 3

DIME Test ID: 2024-10-16-18-2
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: 10/17/2024
Date Tested: 10/17/2024
Submitted By Organization: CT D06 - Visalia Field Laboratory
Organization Address: 8530 W Roosevelt Ave,
Organization City: Visalia
Organization State: CA
Organization Zipcode: 93291
Organization Email: paul.klinker@dot.ca.gov
Organization Phone: (559) 974-1304
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Sand Equivalent 73

Test 3 of 3

DIME Test ID: 2024-10-16-18-3
Test Method: AASHTO T11-5: Standard Method of Test for Materials Finer Than 75-μm (No. 200) Sieve in Mineral Aggregates by Washing
Verified Date: 10/17/2024
Date Tested: 10/17/2024
Submitted By Organization: CT D06 - Visalia Field Laboratory
Organization Address: 8530 W Roosevelt Ave,
Organization City: Visalia
Organization State: CA
Organization Zipcode: 93291
Organization Email: paul.klinker@dot.ca.gov
Organization Phone: (559) 974-1304
General Comments for this Test:
Test Result Compliance: not applicable
Additional Comments When Verified:
Which test procedure is being used Method A
Percent of sample passing the #200 sieve (by mass) 8.5 %