Sample Record for 2020-07-17-35
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
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: 2020-07-17-35
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: 07/17/2020
Date that the sample was received by the laboratory/organization performing the testing: 07/21/2020
The quantity of what the sample constitutes: 1 bag combined aggregate
A brief description of the sample: HMA-A 3/8" R15
From where was the sample collected: Manufacturer
Laboratory sample identification: Sample 2
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CCA-Lake Elsinore
Material Information
Source Identification (SMARA, name of Pit or Job Site): 91-33-0098
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 an chute
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/8 inch
The concrete mix design number: 53891193
Lot number:
Sublot number:
Aggregate Mix Number:
Test Results
Test 1 of 2
DIME Test ID: 2020-07-17-35-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 07/30/2020
Date Tested: 07/22/2020
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:
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What type of gradation is being tested?
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Combined Gradation
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Cumulative percent passing the 2 in. sieve
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100 %
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Cumulative percent passing the 1 1/2 in. sieve
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100 %
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Cumulative percent passing the 1 in. sieve
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100 %
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Cumulative percent passing the 3/4 in. sieve
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100 %
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Cumulative percent passing the 1/2 in. sieve
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100 %
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Cumulative percent passing the 3/8 in. sieve
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99 %
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Cumulative percent passing the #4 sieve
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59 %
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Cumulative percent passing the #8 sieve
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43 %
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Cumulative percent passing the #16 sieve
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33 %
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Cumulative percent passing the #30 sieve
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17 %
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Cumulative percent passing the #50 sieve
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10 %
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Cumulative percent passing the #100 sieve
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7 %
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Cumulative percent passing the #200 sieve
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4.7 %
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Test 2 of 2
DIME Test ID: 2020-07-17-35-2
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: 07/30/2020
Date Tested: 07/22/2020
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:
