Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214438 DEA: 080G6914 EFIS: 0815000184
QA Service Level: 1
DIST-CO-RTE-PM: 08---
Work Description: RELINE OR REPLACE CULVERTS
Location Description: SAN BERNARDINO COUNTY IN AND NEAR SAN BERNARDINO FROM 48TH STREET TO ROUTE 18/138 SEPARATION
Contractor Name: SUKUT CONSTRUCTION, LLC.
Contractor Address: Unknown
Resident Engineer: NHAN NGUYEN Structure Rep.: Unknown
DIME Sample ID: 2022-12-08-33
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Verification
Type of Material: Aggregate
Sample Taken Date: 12/08/2022
Date that the sample was received by the laboratory/organization performing the testing: 12/16/2022
The quantity of what the sample constitutes: 1 bag
A brief description of the sample: 3/4" HMA-A-SP R12 0.75%LAS
From where was the sample collected: Manufacturer
Laboratory sample identification: 0780A-22
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Matich Plant Rialto
Source Identification (SMARA, name of Pit or Job Site): 91-36-0040
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: Conveyor Belt
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number: LHP-62D
Lot number:
Sublot number:
Aggregate Mix Number:
DIME Test ID: 2022-12-08-33-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 01/17/2023
Date Tested: 12/20/2022
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: 9098293029
General Comments for this Test: Combined Virgin Aggregate Gradation
Test Result Compliance:
Additional Comments When Verified:
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What type of gradation is being tested?
|
Combined Gradation
|
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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
|
76 %
|
|
Cumulative percent passing the 3/8 in. sieve
|
65 %
|
|
Cumulative percent passing the #4 sieve
|
44 %
|
|
Cumulative percent passing the #8 sieve
|
28 %
|
|
Cumulative percent passing the #16 sieve
|
20 %
|
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Cumulative percent passing the #30 sieve
|
13 %
|
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Cumulative percent passing the #50 sieve
|
8 %
|
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Cumulative percent passing the #100 sieve
|
5 %
|
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Cumulative percent passing the #200 sieve
|
3.4 %
|
DIME Test ID: 2022-12-08-33-2
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: 01/17/2023
Date Tested: 12/17/2022
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: 9098293029
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
