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Sample Record for 2021-06-01-14

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Project Information

Project ID: 213707 DEA: 081C38U4 EFIS: 0817000196 QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-10-6.7/R25.1
Work Description: Remove concrete pavement and base, and place HMA and JPCP
Location Description: ROUTE 10/60 SEPARATION IN BEAUMONT TO ROUTE 10/111 SEPARATION NEAR CABAZON.
Contractor Name: Coffman Specialties
Contractor Address: 9685 Via Excelencia, San Diego, CA 92126
Resident Engineer: Elvira Lenart Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-06-01-14
TL Number from the TL Form:
Sample Submitted By Organization: CT - Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Acceptance
Type of Material: Aggregate
Sample Taken Date: 06/01/2021
Date that the sample was received by the laboratory/organization performing the testing: 06/04/2021
The quantity of what the sample constitutes: 6 Bags of Combined Aggregate
A brief description of the sample: PSUE 3/4" RHMA-G-SP 0.5% LAS
From where was the sample collected: Manufacturer
Laboratory sample identification: 0332G-21
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: California Commercial Asphalt - Lake Elsinore

Material Information

Source Identification (SMARA or name of Pit): 91-33-0098
The fabricator's/manufacturer's product name for the sample: 3/4 RHMA-G-SP
The fabricator/manufacturer designation for the sample:
The plant number: 53418180
A detailed description of where the material sample was collected: Belt Cut at California Commercial Asphalt Lake Elsinore Plant
Where the material sample would have been placed if not sampled: Asphalt Paving
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number:
Lot number:
Sublot number:

Test Results

Test 1 of 2

DIME Test ID: 2021-06-01-14-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 06/08/2021
Date Tested: 06/07/2021
Submitted By Organization: CT - Southern Regional Laboratory
Organization Address: 13970 Victoria St,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: 213-792-4794
General Comments for this Test: Combined Virgin Aggregate Gradation
Additional Comments When Verified:
What type of gradation is being tested? HMA Gradation
Does this test use 1/4 sieve? (question for HMA Gradation Type) No
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 83 %
Cumulative percent passing the 3/8 in. sieve 69 %
Cumulative percent passing the #4 sieve 35 %
Cumulative percent passing the #8 sieve 16 %
Cumulative percent passing the #16 sieve 10 %
Cumulative percent passing the #30 sieve 6 %
Cumulative percent passing the #50 sieve 5 %
Cumulative percent passing the #100 sieve 3 %
Cumulative percent passing the #200 sieve 2.6 %

Test 2 of 2

DIME Test ID: 2021-06-01-14-5
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: 06/08/2021
Date Tested: 06/07/2021
Submitted By Organization: CT - Southern Regional Laboratory
Organization Address: 13970 Victoria St,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: 213-792-4794
General Comments for this Test:
Additional Comments When Verified:
Sand Equivalent 75

Tests Assigned to this Sample

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