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Sample Record for 2022-08-19-52

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

Project Information

Project ID: 993535 DEA: 081M1104 EFIS: 0821000078 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-215-10.0/17.2
Work Description: HMA, COLD PLANE AC PAVEMENT, AND TRAFFIC STRIPE TAPE.
Location Description: SAN BERNARDINO COUNTY?FROM 0.1 MILE NORTH OF 27TH STREET TO 0.1 MILE SOUTH OF DEVORE ROAD
Contractor Name: CALMEX ENGINEERING INC.
Contractor Address: 2764 S VISTA AVE, BLOOMINGTON, CA 92316
Resident Engineer: VuThanh Nguyen Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2022-08-19-52
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: 08/19/2022
Date that the sample was received by the laboratory/organization performing the testing: 08/20/2022
The quantity of what the sample constitutes: 1 Bag of Combined Aggregate
A brief description of the sample: JMF 3/4" HMA-A-SP-R23 0.5% LAS
From where was the sample collected: Manufacturer
Laboratory sample identification: 0339A-22
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan-San Bernardino Portable

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-36-0137, 91-19-0035
The fabricator's/manufacturer's product name for the sample:
The fabricator/manufacturer designation for the sample: 223506
The plant number:
A detailed description of where the material sample was collected: Belt Cut at Vulcan AC Drum Plant San Bernardino
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: 2022-08-19-52-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
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: 9512323690
This test has been superseded on 09/27/2022. The corrected test ID is: 2022-08-19-52-3
Reason: corrected

Test 2 of 3

DIME Test ID: 2022-08-19-52-2
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)
Verified Date: 09/15/2022
Date Tested: 08/20/2022
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:
Sand Equivalent 77

Test 3 of 3

DIME Test ID: 2022-08-19-52-3
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 09/27/2022
Date Tested: 08/20/2022
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:
The test was superseded from test ID: 2022-08-19-52-1
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 82 %
Cumulative percent passing the 3/8 in. sieve 72 %
Cumulative percent passing the #4 sieve 52 %
Cumulative percent passing the #8 sieve 34 %
Cumulative percent passing the #16 sieve 25 %
Cumulative percent passing the #30 sieve 16 %
Cumulative percent passing the #50 sieve 11 %
Cumulative percent passing the #100 sieve 7 %
Cumulative percent passing the #200 sieve 5 %