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Sample Record for 2022-05-16-36

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Project Information

Project ID: 214819 DEA: 07288304 EFIS: 0700021024 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-60,60,164,210-Var
Work Description: STORM WATER MITIGATION
Location Description: LOS ANGELES COUNTY AT VARIOUS LOCATIONS
Contractor Name: CHUMO CONSTRUCTION INC
Contractor Address: 14425 Joanbridge St, Baldwin Park, CA 91706
Resident Engineer: Sushilkumar Chaudhari Structure Rep.: Pratheep Piratheepan

Sample Information

DIME Sample ID: 2022-05-16-36
TL Number from the TL Form: C0526B1
Sample Submitted By Organization: CT D07 - Plant Services
Sample Organization Contact: 562-345-3126
Type of Sample: Acceptance
Type of Material: Aggregate
Sample Taken Date: 05/16/2022
Date that the sample was received by the laboratory/organization performing the testing: 05/17/2022
The quantity of what the sample constitutes: 60 tons
A brief description of the sample: 3/4" RHMA
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: AAA-Corona

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-33-0005
The fabricator's/manufacturer's product name for the sample:
The fabricator/manufacturer designation for the sample: 106835
The plant number: Corona
A detailed description of where the material sample was collected: belt feed
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:
Aggregate Mix Number:

Test Results

Test 1 of 3

DIME Test ID: 2022-05-16-36-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 06/01/2022
Date Tested: 05/20/2022
Submitted By Organization: CT D07 - Plant Services
Organization Address: 13230 East Firestone Boulevard, Suite G,
Organization City: Santa Fe Springs
Organization State: CA
Organization Zipcode: 90670
Organization Email: victor.zengler@dot.ca.gov
Organization Phone: (562) 345-3126
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
What type of gradation is being tested? HMA Gradation
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 96.5 %
Cumulative percent passing the 1/2 in. sieve 82.1 %
Cumulative percent passing the 3/8 in. sieve 67.3 %
Cumulative percent passing the #4 sieve 35.7 %
Cumulative percent passing the #8 sieve 19.3 %
Cumulative percent passing the #16 sieve 13.7 %
Cumulative percent passing the #30 sieve 10.4 %
Cumulative percent passing the #50 sieve 8.1 %
Cumulative percent passing the #100 sieve 5.9 %
Cumulative percent passing the #200 sieve 3.98 %

Test 2 of 3

DIME Test ID: 2022-05-16-36-2
Test Method: AASHTO T11-5: Standard Method of Test for Materials Finer Than 75-μm (No. 200) Sieve in Mineral Aggregates by Washing
Verified Date: 06/01/2022
Date Tested: 05/20/2022
Submitted By Organization: CT D07 - Plant Services
Organization Address: 13230 East Firestone Boulevard, Suite G,
Organization City: Santa Fe Springs
Organization State: CA
Organization Zipcode: 90670
Organization Email: victor.zengler@dot.ca.gov
Organization Phone: (562) 345-3126
General Comments for this Test:
Test Result Compliance: not applicable
Additional Comments When Verified:
Which test procedure is being used Method A
Percent of sample passing the #200 sieve (by mass) 11.1 %

Test 3 of 3

DIME Test ID: 2022-05-16-36-3
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: 06/01/2022
Date Tested: 05/20/2022
Submitted By Organization: CT D07 - Plant Services
Organization Address: 13230 East Firestone Boulevard, Suite G,
Organization City: Santa Fe Springs
Organization State: CA
Organization Zipcode: 90670
Organization Email: victor.zengler@dot.ca.gov
Organization Phone: (562) 345-3126
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Sand Equivalent 68