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Sample Record for 2020-08-18-28

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Project Information

Project ID: 210673 DEA: 042640F4 EFIS: 0400020132 COOP: 042308A3 QA Service Level: 1
DIST-CO-RTE-PM: 04-SON--
Work Description:
Location Description:
Contractor Name: GHILOTTI CONSTRUCTION CO. INC.
Contractor Address: 246 GHILOTTI AVENUE, SANTA ROSA, CA 95407
Resident Engineer: Gina Choi Structure Rep.: Brian Beaudoin

Sample Information

DIME Sample ID: 2020-08-18-28
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - Hayward DME / District Laboratory
Sample Organization Contact: (510) 507-3456
Type of Sample: Verification
Type of Material: Aggregate
Sample Taken Date: 08/18/2020
Date that the sample was received by the laboratory/organization performing the testing: 09/18/2020
The quantity of what the sample constitutes: 4 Bags
A brief description of the sample: 1/2HMA A 15rap PG64-16 Valero
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Bodean Mark West Quarry

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-49-0032
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: Stockpile @ 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:
Sublot number:
Aggregate Mix Number:

Test Results

Test 1 of 8

DIME Test ID: 2020-08-18-28-1
Test Method: AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)
Verified Date: 09/02/2020
Date Tested: 08/26/2020
Submitted By Organization: CT D04 - Hayward DME / District Laboratory
Organization Address: 111 Grand Avenue,
Organization City: Oakland
Organization State: CA
Organization Zipcode: 94623
Organization Email: mohammad.dehghan@dot.ca.gov
Organization Phone: (510) 286-4717
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Basis for relative density testing Bulk
Specific Gravity 2.836
Absorption 1.1 %

Test 2 of 8

DIME Test ID: 2020-08-18-28-2
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 09/02/2020
Date Tested: 08/26/2020
Submitted By Organization: CT D04 - Hayward DME / District Laboratory
Organization Address: 111 Grand Avenue,
Organization City: Oakland
Organization State: CA
Organization Zipcode: 94623
Organization Email: mohammad.dehghan@dot.ca.gov
Organization Phone: (510) 286-4717
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 100 %
Cumulative percent passing the 1/2 in. sieve 98 %
Cumulative percent passing the 3/8 in. sieve 86.3 %
Cumulative percent passing the #4 sieve 51.7 %
Cumulative percent passing the #8 sieve 35.4 %
Cumulative percent passing the #16 sieve 23.4 %
Cumulative percent passing the #30 sieve 16.4 %
Cumulative percent passing the #50 sieve 12 %
Cumulative percent passing the #100 sieve 8.2 %
Cumulative percent passing the #200 sieve 6.18 %

Test 3 of 8

DIME Test ID: 2020-08-18-28-3
Test Method: AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity)
Verified Date: 09/02/2020
Date Tested: 08/27/2020
Submitted By Organization: CT D04 - Hayward DME / District Laboratory
Organization Address: 111 Grand Avenue,
Organization City: Oakland
Organization State: CA
Organization Zipcode: 94623
Organization Email: mohammad.dehghan@dot.ca.gov
Organization Phone: (510) 286-4717
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Bulk specific gravity 2.662
Bulk specific gravity (SSD Basis) 2.725
Apparent specific gravity 2.841
Absorption 2.4 %

Test 4 of 8

DIME Test ID: 2020-08-18-28-4
Test Method: AASHTO T96-02r10: Standard Method of Test for Resistance to Degradation of Small-Size Coarse Aggregate by Abrasion and Impact in the Los Angeles Machine (Los Angeles Rattler)
Verified Date: 09/02/2020
Date Tested: 08/26/2020
Submitted By Organization: CT D04 - Hayward DME / District Laboratory
Organization Address: 111 Grand Avenue,
Organization City: Oakland
Organization State: CA
Organization Zipcode: 94623
Organization Email: mohammad.dehghan@dot.ca.gov
Organization Phone: (510) 286-4717
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Grading designation C
Mass of sample on No.12 sieve (after 500 revolutions) 4266 grams
Percent loss after 100 revolutions 4 %
Percent loss after 500 revolutions 15 %

Test 5 of 8

DIME Test ID: 2020-08-18-28-5
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: 09/02/2020
Date Tested: 08/27/2020
Submitted By Organization: CT D04 - Hayward DME / District Laboratory
Organization Address: 111 Grand Avenue,
Organization City: Oakland
Organization State: CA
Organization Zipcode: 94623
Organization Email: mohammad.dehghan@dot.ca.gov
Organization Phone: (510) 286-4717
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Sand Equivalent 66

Test 6 of 8

DIME Test ID: 2020-08-18-28-6
Test Method: AASHTO T304-11: Standard Method of Test for Uncompacted Void Content of Fine Aggregate (Fine of Crushed Particles)
Verified Date: 09/02/2020
Date Tested: 08/26/2020
Submitted By Organization: CT D04 - Hayward DME / District Laboratory
Organization Address: 111 Grand Avenue,
Organization City: Oakland
Organization State: CA
Organization Zipcode: 94623
Organization Email: mohammad.dehghan@dot.ca.gov
Organization Phone: (510) 286-4717
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
What test method is performed? Method A
Bulk dry specific gravity 2.662
Average uncompacted voids 47 %

Test 7 of 8

DIME Test ID: 2020-08-18-28-7
Test Method: AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)
Verified Date: 09/02/2020
Date Tested: 08/26/2020
Submitted By Organization: CT D04 - Hayward DME / District Laboratory
Organization Address: 111 Grand Avenue,
Organization City: Oakland
Organization State: CA
Organization Zipcode: 94623
Organization Email: mohammad.dehghan@dot.ca.gov
Organization Phone: (510) 286-4717
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Method 1 - Combined Fracture Determination
Aggregate Size and Fracture Type Coarse 1 and 2 Faced and Fine 1 Faced
Percentage of fractured, coarse, 2 faced particles tested 98 %
Percentage of fractured, coarse, 1 faced particles tested 100 %
Percentage of fractured, fine, 1 faced particles tested 100 %

Test 8 of 8

DIME Test ID: 2020-08-18-28-8
Test Method: ASTM D4791-10: Standard Test Method for Flat Particles, Elongated Particles, or Flat and Elongated Particles in Coarse Aggregate (Withdrawn 2019) (Flat and Elongated Particles)
Verified Date: 09/02/2020
Date Tested: 08/26/2020
Submitted By Organization: CT D04 - Hayward DME / District Laboratory
Organization Address: 111 Grand Avenue,
Organization City: Oakland
Organization State: CA
Organization Zipcode: 94623
Organization Email: mohammad.dehghan@dot.ca.gov
Organization Phone: (510) 286-4717
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Method A
Determination By Number
Dimensional ratio used 5:1
Weighted percentage of particles (by number) that were flat 0 %
Weighted percentage of particles (by number) that were elongated 0 %
Weighted percentage of particles (by number) that were both flat and elongated 0 %
Weighted percentage of particles (by number) that were neither flat nor elongated 100 %