Project Information

Project ID: 215188 DEA: 080F5434 EFIS: 0817000239 Permit Numbers: 0823NMC0369 QA Service Level: 1

DIST-CO-RTE-PM: 08-RIV-I-15,SR-91-6.1-7.6

Work Description: I-15 ELC: 15/91 Express Lanes Connector Project (ELC)

Location Description: Junction of I-15 and SR-91 in Corona, CA

Contractor Name: Myers-Rados Joint Venture

Contractor Address: 629 N. Main Street, Suite C3, Corona, CA 92878

Resident Engineer: Roy Fisher Structure Rep.: Alhakem Alina

Sample Information

DIME Sample ID: 2022-03-23-12

TL Number from the TL Form:

Sample Submitted By Organization: CT D08 - Fontana Field Testing Laboratory

Sample Organization Contact: 9512323690

Type of Sample: Acceptance

Type of Material: Aggregate

Sample Taken Date: 03/23/2022

Date that the sample was received by the laboratory/organization performing the testing: 03/23/2022

The quantity of what the sample constitutes: 1 bag combined aggregate

A brief description of the sample: AC Drum Aggregate

From where was the sample collected: Manufacturer

Laboratory sample identification: 1

Structure unique identifier:

Structure name:

The fabricator/manufacturer/facility name: RJ Noble Corona

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-37-0066

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: belt an chute

Where the material sample would have been placed if not sampled:

Primary Aggregate Nominal Size: 3/4 inch

The concrete mix design number: 36R1501BPWC

Lot number:

Sublot number:

Aggregate Mix Number:

Test Results

Test 1 of 2

DIME Test ID: 2022-03-23-12-1

Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)

Verified Date: 03/28/2022

Date Tested: 03/24/2022

Submitted By Organization: CT D08 - Fontana Field Testing Laboratory

Organization Address: 13970 Victoria Street,

Organization City: Fontana

Organization State: CA

Organization Zipcode: 92336

Organization Email: prakash.gowda@dot.ca.gov

Organization Phone: (951) 232-3690

General Comments for this Test:

Test Result Compliance: complies

Additional Comments When Verified:

What type of gradation is being tested?	Combined Gradation
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 %
Cumulative percent passing the 1/2 in. sieve	84 %
Cumulative percent passing the 3/8 in. sieve	70 %
Cumulative percent passing the #4 sieve	47 %
Cumulative percent passing the #8 sieve	32 %
Cumulative percent passing the #16 sieve	21 %
Cumulative percent passing the #30 sieve	15 %
Cumulative percent passing the #50 sieve	10 %
Cumulative percent passing the #100 sieve	8 %
Cumulative percent passing the #200 sieve	5.7 %

Test 2 of 2

DIME Test ID: 2022-03-23-12-2

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)