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Sample Record for 2020-08-14-30

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Project Information

Project ID: 214658 DEA: 051K7104 EFIS: 0518000232 QA Service Level: 1
DIST-CO-RTE-PM: 05-SLO-46,101-var
Work Description: PLACE METHACRYLATE DECK SEAL, POLYESTER CONCRETE OVERLAY, JOINT SEALS
Location Description: SAN LUIS OBISPO COUNTY IN AND NEAR PASO ROBLES AT VARIOUS LOCATIONS
Contractor Name: AMERICAN CIVIL CONSTRUCTORS WEST COAST LLC
Contractor Address: 2990 Bay Vista Court Suite D, Benicia, CA 94510
Resident Engineer: Johnny Rodriguez Structure Rep.: Salvador J 'Sal' Heredia,

Sample Information

DIME Sample ID: 2020-08-14-30
TL Number from the TL Form:
Sample Submitted By Organization: CT D05 - Field Laboratory
Sample Organization Contact: (559) 230-3109
Type of Sample: Verification
Type of Material: Aggregate
Sample Taken Date: 08/14/2020
Date that the sample was received by the laboratory/organization performing the testing: 09/09/2020
The quantity of what the sample constitutes: One JMF Verification
A brief description of the sample: Bags of Aggregate
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: SPM Templeton

Material Information

Source Identification (SMARA or name of Pit): 91-10-0006
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: At the 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:

Test Results

Test 1 of 7

DIME Test ID: 2020-08-14-30-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 09/25/2020
Date Tested: 09/21/2020
Submitted By Organization: CT D05 - Field Laboratory
Organization Address: 50 Higuera St,
Organization City: San Luis Obispo
Organization State: CA
Organization Zipcode: 93401
Organization Email: doug.lambert@dot.ca.gov
Organization Phone: (559) 230-3109
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
What type of gradation is being tested? Combined Gradation
Does this test use 1/4 sieve? (question for HMA Gradation Type) No
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 98.9 %
Cumulative percent passing the 1/2 in. sieve 81.2 %
Cumulative percent passing the 3/8 in. sieve 65.2 %
Cumulative percent passing the #4 sieve 41.4 %
Cumulative percent passing the #8 sieve 24.2 %
Cumulative percent passing the #16 sieve 16.5 %
Cumulative percent passing the #30 sieve 11 %
Cumulative percent passing the #50 sieve 6.2 %
Cumulative percent passing the #100 sieve 2.8 %
Cumulative percent passing the #200 sieve 1.5 %

Test 2 of 7

DIME Test ID: 2020-08-14-30-2
Test Method: AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)
Verified Date: 09/25/2020
Date Tested: 09/25/2020
Submitted By Organization: CT D05 - Field Laboratory
Organization Address: 50 Higuera St,
Organization City: San Luis Obispo
Organization State: CA
Organization Zipcode: 93401
Organization Email: doug.lambert@dot.ca.gov
Organization Phone: (559) 230-3109
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Method 2 - Individual Fracture Determination
Aggregate Size and Fracture Type Coarse 1 and 2 Faced and Fine 1 Faced
Weighted average percentage of fractured, coarse, 2 faced particles 99 %
Weighted average percentage of fractured, coarse, 1 faced particles 100 %
Percentage of fractured, fine, 1 faced particles tested 100 %

Test 3 of 7

DIME Test ID: 2020-08-14-30-3
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: 09/25/2020
Date Tested: 09/25/2020
Submitted By Organization: CT D05 - Field Laboratory
Organization Address: 50 Higuera St,
Organization City: San Luis Obispo
Organization State: CA
Organization Zipcode: 93401
Organization Email: doug.lambert@dot.ca.gov
Organization Phone: (559) 230-3109
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Grading designation B
Percent loss after 100 revolutions 7 %
Percent loss after 500 revolutions 28 %

Test 4 of 7

DIME Test ID: 2020-08-14-30-4
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: 09/25/2020
Date Tested: 09/22/2020
Submitted By Organization: CT D05 - Field Laboratory
Organization Address: 50 Higuera St,
Organization City: San Luis Obispo
Organization State: CA
Organization Zipcode: 93401
Organization Email: doug.lambert@dot.ca.gov
Organization Phone: (559) 230-3109
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Sand Equivalent 71

Test 5 of 7

DIME Test ID: 2020-08-14-30-5
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: 09/25/2020
Date Tested: 09/25/2020
Submitted By Organization: CT D05 - Field Laboratory
Organization Address: 50 Higuera St,
Organization City: San Luis Obispo
Organization State: CA
Organization Zipcode: 93401
Organization Email: doug.lambert@dot.ca.gov
Organization Phone: (559) 230-3109
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Method A
Determination By Mass
Dimensional ratio used 5:1
Weighted percentage of particles (by mass) that were flat 0 %
Weighted percentage of particles (by mass) that were elongated 0 %
Weighted percentage of particles (by mass) that were both flat and elongated 0 %
Weighted percentage of particles (by mass) that were neither flat nor elongated 100 %

Test 6 of 7

DIME Test ID: 2020-08-14-30-6
Test Method: AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity)
Verified Date: 09/25/2020
Date Tested: 09/23/2020
Submitted By Organization: CT D05 - Field Laboratory
Organization Address: 50 Higuera St,
Organization City: San Luis Obispo
Organization State: CA
Organization Zipcode: 93401
Organization Email: doug.lambert@dot.ca.gov
Organization Phone: (559) 230-3109
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Bulk specific gravity 2.587
Bulk specific gravity (SSD Basis) 2.619
Apparent specific gravity 2.674
Absorption 1.3 %

Test 7 of 7

DIME Test ID: 2020-08-14-30-7
Test Method: AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)
Verified Date: 09/25/2020
Date Tested: 09/23/2020
Submitted By Organization: CT D05 - Field Laboratory
Organization Address: 50 Higuera St,
Organization City: San Luis Obispo
Organization State: CA
Organization Zipcode: 93401
Organization Email: doug.lambert@dot.ca.gov
Organization Phone: (559) 230-3109
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Basis for relative density testing Bulk
Specific Gravity 2.586
Absorption 1.7 %

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.