Project Information

Project ID: 214899 DEA: 033H4504 EFIS: 0318000001 QA Service Level: 1

DIST-CO-RTE-PM: 03-ED-50-33.8/34.2

Work Description: CONSTRUCT RW, WIDEN RDWY, COLD PLANE AC PVMT, & HMA OVERLAY.

Location Description: EL DORADO COUNTY AT FRESH POND FROM 0.6 TO 0.2 MILE WEST OF FOREST ROAD/OUTER LIMITS LANE

Contractor Name: BRIDGEWAY CIVIL CONSTRUCTORS, INC.

Contractor Address: 4950 Allison Parkway, # A, Vacaville, CA 95866

Resident Engineer: Jody Phillips Structure Rep.: Dave Carlin

Sample Information

DIME Sample ID: 2022-02-14-60

TL Number from the TL Form:

Sample Submitted By Organization: CT D03 - Olivehurst Northern Regional Laboratory

Sample Organization Contact: (530) 741-4238

Type of Sample: Verification

Type of Material: Aggregate

Sample Taken Date: 02/14/2022

Date that the sample was received by the laboratory/organization performing the testing: 03/29/2022

The quantity of what the sample constitutes: 4 bins in bags

A brief description of the sample: 3/4" Virgin Agg

From where was the sample collected: Supplier

Laboratory sample identification:

Structure unique identifier:

Structure name:

The fabricator/manufacturer/facility name: Teichert-Grantline

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-34-0047

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: Hot Bins

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 2

DIME Test ID: 2022-02-14-60-1

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

Verified Date: 06/14/2022

Date Tested: 03/28/2022

Submitted By Organization: CT D03 - Olivehurst Northern Regional Laboratory

Organization Address: 5330 Arboga Road,

Organization City: Olivehurst

Organization State: CA

Organization Zipcode: 95961

Organization Email: jeff.herbert@dot.ca.gov

Organization Phone: (530) 741-4238

General Comments for this Test: JMF22-007

Test Result Compliance:

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	99 %
Cumulative percent passing the 1/2 in. sieve	85 %
Cumulative percent passing the 3/8 in. sieve	68 %
Cumulative percent passing the #4 sieve	49 %
Cumulative percent passing the #8 sieve	35 %
Cumulative percent passing the #16 sieve	25 %
Cumulative percent passing the #30 sieve	18 %
Cumulative percent passing the #50 sieve	13 %
Cumulative percent passing the #100 sieve	10 %
Cumulative percent passing the #200 sieve	5.5 %

Test 2 of 2

DIME Test ID: 2022-02-14-60-2

Test Method: AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)