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Sample Record for 2021-06-28-19

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Project Information

Project ID: 215534 DEA: 081K8404 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-247-39.0/42.0&46.0/70.0
Work Description: RUBBERIZED HMA AND HIGH DENSITY POLYURETHANE MATERIAL INJECTION.
Location Description: SAN BERNARDINO COUNTY AT LUCERNE VALLEY FROM 0.5 MILE SOUTH OF CAMP ROCK ROAD TO 0.1 MILE SOUTH OF MIDWAY AVENUE AND FROM 1.1 MILES SOUTH OF HOLMES ROAD TO 1.2 MILES NORTH OF STODDARD VALLEY ROAD
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-06-28-19
TL Number from the TL Form:
Sample Submitted By Organization: CT - Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Verification
Type of Material: Aggregate
Sample Taken Date: 06/28/2021
Date that the sample was received by the laboratory/organization performing the testing: 06/29/2021
The quantity of what the sample constitutes: 4 Bags Of Agg.
A brief description of the sample: PSUE 1/2" RHMA-G- WMA 0.6% Evotherm
From where was the sample collected: Manufacturer
Laboratory sample identification: 0394G-21
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Blue Diamond Materials-Victorville

Material Information

Source Identification (SMARA or name of Pit): 91-36-0046,91-36-0106
The fabricator's/manufacturer's product name for the sample: 1/2 RWMA-G-SP
The fabricator/manufacturer designation for the sample:
The plant number: 300191 WMA
A detailed description of where the material sample was collected: Belt Cut at Blue Diamond Victorville Plant
Where the material sample would have been placed if not sampled: Asphalt Paving
Primary Aggregate Nominal Size: 1/2 inch
The concrete mix design number:
Lot number:
Sublot number:

Test Results

Test 1 of 8

DIME Test ID: 2021-06-28-19-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 07/07/2021
Date Tested: 07/06/2021
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
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 100 %
Cumulative percent passing the 1/2 in. sieve 97 %
Cumulative percent passing the 3/8 in. sieve 83 %
Cumulative percent passing the #4 sieve 38 %
Cumulative percent passing the #8 sieve 17 %
Cumulative percent passing the #16 sieve 11 %
Cumulative percent passing the #30 sieve 7 %
Cumulative percent passing the #50 sieve 5 %
Cumulative percent passing the #100 sieve 3 %
Cumulative percent passing the #200 sieve 1.8 %

Test 2 of 8

DIME Test ID: 2021-06-28-19-2
Test Method: AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity)
Verified Date: 07/07/2021
Date Tested: 07/01/2021
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:
Test Result Compliance:
Additional Comments When Verified:
Bulk specific gravity 2.635
Bulk specific gravity (SSD Basis) 2.677
Apparent specific gravity 2.749
Absorption 1.6 %

Test 3 of 8

DIME Test ID: 2021-06-28-19-3
Test Method: AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)
Verified Date: 07/07/2021
Date Tested: 07/01/2021
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:
Test Result Compliance:
Additional Comments When Verified:
Basis for relative density testing Bulk
Specific Gravity 2.705
Absorption 0.7 %

Test 4 of 8

DIME Test ID: 2021-06-28-19-4
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: 07/07/2021
Date Tested: 07/02/2021
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:
Test Result Compliance:
Additional Comments When Verified:
Grading designation C
Mass of sample on No.12 sieve (after 500 revolutions) 3676 grams
Percent loss after 100 revolutions 5 %
Percent loss after 500 revolutions 26 %

Test 5 of 8

DIME Test ID: 2021-06-28-19-5
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: 07/07/2021
Date Tested: 06/30/2021
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:
Test Result Compliance:
Additional Comments When Verified:
Sand Equivalent 82

Test 6 of 8

DIME Test ID: 2021-06-28-19-6
Test Method: AASHTO T304-11: Standard Method of Test for Uncompacted Void Content of Fine Aggregate (Fine of Crushed Particles)
Verified Date: 07/07/2021
Date Tested: 07/03/2021
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:
Test Result Compliance:
Additional Comments When Verified:
What test method is performed? Method A
Bulk dry specific gravity 2.635
Average uncompacted voids 43.9 %

Test 7 of 8

DIME Test ID: 2021-06-28-19-7
Test Method: AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)
Verified Date: 07/07/2021
Date Tested: 07/03/2021
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:
Test Result Compliance:
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 99 %
Percentage of fractured, fine, 1 faced particles tested 100 %

Test 8 of 8

DIME Test ID: 2021-06-28-19-8
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: 07/07/2021
Date Tested: 07/03/2021
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:
Test Result Compliance:
Additional Comments When Verified:
Method B
Determination By Mass
Dimensional ratio used 5:1
Weighted percentage of particles (by mass) that were flat and elongated 0 %
Weighted percentage of particles (by mass) that were not flat and elongated 100 %

Tests Assigned to this Sample

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