Project Information

Project ID: 214466 DEA: 081F1414 EFIS: 0815000231 QA Service Level: 1

DIST-CO-RTE-PM: 08-RIV-15-15-54.2/54.3

Work Description: Slab & lane replacement with JPCP & precast conc pavement, place HMA.

Location Description: Riverside and San Diego County

Contractor Name: SECURITY PAVING COMPANY, INC.

Contractor Address: 3075 Townsgate Road, Suite 200, Westlake Village, CA 91361

Resident Engineer: Mike Bergevin Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-07-09-29

TL Number from the TL Form:

Sample Submitted By Organization: CT D08 - Fontana Field Testing Laboratory

Sample Organization Contact: 9512323690

Type of Sample: Quality Assurance

Type of Material: Aggregate

Sample Taken Date: 07/09/2020

Date that the sample was received by the laboratory/organization performing the testing: 07/09/2020

The quantity of what the sample constitutes: 1 bag

A brief description of the sample: 3/4" Class 2 AS Base

From where was the sample collected: Manufacturer

Laboratory sample identification:

Structure unique identifier:

Structure name:

The fabricator/manufacturer/facility name: Security Paving batch plant

Material Information

Source Identification (SMARA, name of Pit or Job Site): Not Applicable

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: Onside Batch 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:

Test Results

Test 1 of 2

DIME Test ID: 2020-07-09-29-1

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

Verified Date: 07/16/2020

Date Tested: 07/09/2020

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?	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	80 %
Cumulative percent passing the 3/8 in. sieve	70 %
Cumulative percent passing the #4 sieve	54 %
Cumulative percent passing the #8 sieve	40 %
Cumulative percent passing the #16 sieve	29 %
Cumulative percent passing the #30 sieve	16 %
Cumulative percent passing the #50 sieve	14 %
Cumulative percent passing the #100 sieve	10 %
Cumulative percent passing the #200 sieve	3 %

Test 2 of 2

DIME Test ID: 2020-07-09-29-2

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)