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Sample Record for 2015-04-10-8

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 7463 DEA: 042640U4 EFIS: 0412000195 QA Service Level: 1
DIST-CO-RTE-PM: 04-SON-101-0.9/3.6
Work Description: CONSTRUCT PETALUMA BLVD SOUTH INTERCHANGE, REPLACE PETALUMA RIVER BR
Location Description: SONOMA COUNTY IN AND NEAR PETALUMA FROM GUNN DRIVE TO ROUTE 101/116 SEPARATION AND OVERHEAD
Contractor Name: GHILOTTI - CC MYERS JV
Contractor Address: 3286 Fitzgerald Road, Rancho Cordova, CA 95742
Resident Engineer: Richard Duncan Structure Rep.: Brian Beaudoin

Sample Information

DIME Sample ID: 2015-04-10-8
TL Number from the TL Form: C863177
Sample Submitted By Organization: CT HQ - Sacramento Concrete Testing Laboratory
Sample Organization Contact: (916) 594-1991
Type of Sample: Verification
Type of Material: Job Mix Formula Partial
Sample Taken Date: 04/10/2015
Date that the sample was received by the laboratory/organization performing the testing: 04/15/2015
The quantity of what the sample constitutes: 1 bag
A brief description of the sample: Class 2 AB
From where was the sample collected: Source
Laboratory sample identification: 15ASPH-0229
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Canyon Rock

Material Information

Source Identification (SMARA, name of Pit or Job Site): NA
The fabricator's/manufacturer's product name for the sample: Unknown
The fabricator/manufacturer designation for the sample: Unknown
The plant number: Unknown
A detailed description of where the material sample was collected: Stockpile
Where the material sample would have been placed if not sampled: Unknown
Superpave or Non-superpave Mix:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2015-04-10-8-1
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: 06/02/2015
Date Tested: 05/04/2015
Submitted By Organization: CT HQ - Sacramento Concrete Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: spencer.adams@dot.ca.gov
Organization Phone: (916) 227-5716
General Comments for this Test:
Test Result Compliance: comply
Additional Comments When Verified:
Sand Equivalent 42

Test 2 of 2

DIME Test ID: 2015-04-10-8-2
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 06/02/2015
Date Tested: 05/04/2015
Submitted By Organization: CT HQ - Sacramento Concrete Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: spencer.adams@dot.ca.gov
Organization Phone: (916) 227-5716
General Comments for this Test:
Test Result Compliance: comply
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 96 %
Cumulative percent passing the 1/2 in. sieve 80 %
Cumulative percent passing the 3/8 in. sieve 70 %
Cumulative percent passing the #4 sieve 46 %
Cumulative percent passing the #8 sieve 21 %
Cumulative percent passing the #16 sieve 13 %
Cumulative percent passing the #30 sieve 11 %
Cumulative percent passing the #50 sieve 9 %
Cumulative percent passing the #100 sieve 8 %
Cumulative percent passing the #200 sieve 7 %