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Sample Record for 2021-07-13-31

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Project Information

Project ID: 215660 DEA: 040W3804 EFIS: 0420000211 QA Service Level: 1
DIST-CO-RTE-PM: 04-SM-92-R9.5/R10.4
Work Description: COLD PLANE AC PAVEMENT AND PLACE RHMA (G).
Location Description: SAN MATEO COUNTY IN SAN MATEO FROM 0.1 MILE EAST OF WEST HILLSDALE BOULEVARD UNDERCROSSING TO 0.1 MILE WEST OF ALAMEDA DE LAS PULGAS OVERCROSSING
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-07-13-31
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - DME / District Lab
Sample Organization Contact: (510) 507-3456
Type of Sample: Verification
Type of Material: Aggregate
Sample Taken Date: 07/13/2021
Date that the sample was received by the laboratory/organization performing the testing: 05/26/2021
The quantity of what the sample constitutes: 3 Bags
A brief description of the sample: 3/4 CF Agg Sample
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Peninsula Road Materials

Material Information

Source Identification (SMARA or name of Pit): 91-21-0008
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: 4 Bags of Aggregate
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 8

DIME Test ID: 2021-07-13-31-2
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 08/13/2021
Date Tested: 07/13/2021
Submitted By Organization: CT D04 - DME / District Lab
Organization Address: 21339 Cabot Blvd,
Organization City: Hayward
Organization State: CA
Organization Zipcode: 94545
Organization Email: mohammad.dehghan@dot.ca.gov
Organization Phone: (510) 507-3456
General Comments for this Test:
Test Result Compliance:
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 96.7 %
Cumulative percent passing the 1/2 in. sieve 88.5 %
Cumulative percent passing the 3/8 in. sieve 81.1 %
Cumulative percent passing the #4 sieve 58.1 %
Cumulative percent passing the #8 sieve 39.4 %
Cumulative percent passing the #16 sieve 26.5 %
Cumulative percent passing the #30 sieve 16.2 %
Cumulative percent passing the #50 sieve 8.4 %
Cumulative percent passing the #100 sieve 4.5 %
Cumulative percent passing the #200 sieve 3.3 %

Test 2 of 8

DIME Test ID: 2021-07-13-31-3
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: 08/13/2021
Date Tested: 07/13/2021
Submitted By Organization: CT D04 - DME / District Lab
Organization Address: 21339 Cabot Blvd,
Organization City: Hayward
Organization State: CA
Organization Zipcode: 94545
Organization Email: mohammad.dehghan@dot.ca.gov
Organization Phone: (510) 507-3456
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sand Equivalent 81

Test 3 of 8

DIME Test ID: 2021-07-13-31-4
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: 08/13/2021
Date Tested: 07/13/2021
Submitted By Organization: CT D04 - DME / District Lab
Organization Address: 21339 Cabot Blvd,
Organization City: Hayward
Organization State: CA
Organization Zipcode: 94545
Organization Email: mohammad.dehghan@dot.ca.gov
Organization Phone: (510) 507-3456
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Grading designation B
Percent loss after 100 revolutions 7.1 %
Percent loss after 500 revolutions 28.5 %

Test 4 of 8

DIME Test ID: 2021-07-13-31-5
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: 08/13/2021
Date Tested: 07/27/2021
Submitted By Organization: CT D04 - DME / District Lab
Organization Address: 21339 Cabot Blvd,
Organization City: Hayward
Organization State: CA
Organization Zipcode: 94545
Organization Email: mohammad.dehghan@dot.ca.gov
Organization Phone: (510) 507-3456
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 0 %

Test 5 of 8

DIME Test ID: 2021-07-13-31-6
Test Method: AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity)
Verified Date: 08/13/2021
Date Tested: 07/27/2021
Submitted By Organization: CT D04 - DME / District Lab
Organization Address: 21339 Cabot Blvd,
Organization City: Hayward
Organization State: CA
Organization Zipcode: 94545
Organization Email: mohammad.dehghan@dot.ca.gov
Organization Phone: (510) 507-3456
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Bulk specific gravity 2.675
Bulk specific gravity (SSD Basis) 2.728
Apparent specific gravity 2.824
Absorption 2 %

Test 6 of 8

DIME Test ID: 2021-07-13-31-7
Test Method: AASHTO T304-11: Standard Method of Test for Uncompacted Void Content of Fine Aggregate (Fine of Crushed Particles)
Verified Date: 08/13/2021
Date Tested: 07/27/2021
Submitted By Organization: CT D04 - DME / District Lab
Organization Address: 21339 Cabot Blvd,
Organization City: Hayward
Organization State: CA
Organization Zipcode: 94545
Organization Email: mohammad.dehghan@dot.ca.gov
Organization Phone: (510) 507-3456
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
What test method is performed? Method A
Bulk dry specific gravity 2.675
Average uncompacted voids 46.5 %

Test 7 of 8

DIME Test ID: 2021-07-13-31-8
Test Method: AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)
Verified Date: 08/13/2021
Date Tested: 07/27/2021
Submitted By Organization: CT D04 - DME / District Lab
Organization Address: 21339 Cabot Blvd,
Organization City: Hayward
Organization State: CA
Organization Zipcode: 94545
Organization Email: mohammad.dehghan@dot.ca.gov
Organization Phone: (510) 507-3456
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 100 %
Percentage of fractured, fine, 1 faced particles tested 100 %

Test 8 of 8

DIME Test ID: 2021-07-13-31-9
Test Method: AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)
Verified Date: 08/13/2021
Date Tested: 07/27/2021
Submitted By Organization: CT D04 - DME / District Lab
Organization Address: 21339 Cabot Blvd,
Organization City: Hayward
Organization State: CA
Organization Zipcode: 94545
Organization Email: mohammad.dehghan@dot.ca.gov
Organization Phone: (510) 507-3456
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Basis for relative density testing Bulk
Specific Gravity 2.746
Absorption 1.5 %

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
2021-07-13-31-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)08/13/2021Not scheduledBabak KamranimoghaddamCT D04 - DME / District Lab