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Sample Record for 2021-10-06-27

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Project Information

Project ID: 213811 DEA: 112T2184 EFIS: 1116000174 QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-5-R38.4/R47.3
Work Description: (Alternative Delivery) Construct HOV lanes, soundwalls, culvert rehab, ITS, and bike trail on I-5 . NCC I-5 Highway Improvement.
Location Description: IN SAN DIEGO COUNTY IN ENCINITAS AND CARLSBAD FROM SAN ELIJO LAGOON BRIDGE TO 0.3 MILE NORTH OF PALOMAR AIRPORT ROAD OVERCROSSING.
Contractor Name: Flatiron-Skanska-Stacy and Witbeck, a Joint Venture
Contractor Address: 3091 Manchester Ave, Cardiff, CA 92007
Resident Engineer: Yong Pak Structure Rep.: Cailyn Le

Sample Information

DIME Sample ID: 2021-10-06-27
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: 10/06/2021
Date that the sample was received by the laboratory/organization performing the testing: 10/19/2021
The quantity of what the sample constitutes: 6 Bags of Aggregate
A brief description of the sample: JMF 1/2" HMA-O-SP
From where was the sample collected: Manufacturer
Laboratory sample identification: 0596O-21
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Otay

Material Information

Source Identification (SMARA or name of Pit): 91-37-0035
The fabricator's/manufacturer's product name for the sample: 1/2 HMA-O-SP
The fabricator/manufacturer designation for the sample:
The plant number: 326114 Otay SJR
A detailed description of where the material sample was collected: Belt Cut at Vulcan Otay
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 6

DIME Test ID: 2021-10-06-27-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 10/25/2021
Date Tested: 10/20/2021
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? 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 100 %
Cumulative percent passing the 1/2 in. sieve 95 %
Cumulative percent passing the 3/8 in. sieve 77 %
Cumulative percent passing the #4 sieve 26 %
Cumulative percent passing the #8 sieve 14 %
Cumulative percent passing the #16 sieve 9 %
Cumulative percent passing the #30 sieve 6 %
Cumulative percent passing the #50 sieve 4 %
Cumulative percent passing the #100 sieve 3 %
Cumulative percent passing the #200 sieve 2.6 %

Test 2 of 6

DIME Test ID: 2021-10-06-27-2
Test Method: AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity)
Verified Date: 10/25/2021
Date Tested: 10/22/2021
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 2.605
Bulk specific gravity (SSD Basis) 2.670
Apparent specific gravity 2.784
Absorption 2.5 %

Test 3 of 6

DIME Test ID: 2021-10-06-27-3
Test Method: AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)
Verified Date: 10/25/2021
Date Tested: 10/22/2021
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 2.698
Absorption 1 %

Test 4 of 6

DIME Test ID: 2021-10-06-27-4
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: 10/25/2021
Date Tested: 10/25/2021
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) 4282 grams
Percent loss after 100 revolutions 3 %
Percent loss after 500 revolutions 14 %

Test 5 of 6

DIME Test ID: 2021-10-06-27-5
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: 10/25/2021
Date Tested: 10/25/2021
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 2 %
Weighted percentage of particles (by mass) that were not flat and elongated 98 %

Test 6 of 6

DIME Test ID: 2021-10-06-27-6
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: 10/25/2021
Date Tested: 10/20/2021
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 47

Tests Assigned to this Sample

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