Project Information

Project ID: 993830 DEA: 080H7914 EFIS: 0821000072 QA Service Level: 1

DIST-CO-RTE-PM: 08-SBD-15-5.1/5.8

Work Description: RAMP METERING SYSTEM, HMA, RHMA, AND ROADWAY EXCAVATION.

Location Description: SAN BERNARDINO COUNTY IN RANCHO CUCAMONGA FROM FOOTHILL BOULEVARD UNDERCROSSING TO 0.4 MILE NORTH OF FOOTHILL BOULEVARD UNDERCROSSING

Contractor Name: Mike Muhsin

Contractor Address: 1852 La Palma Ace 377, Buena Park, CA 90620

Resident Engineer: Dominic Ehirim Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-02-03-27

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: 02/03/2023

Date that the sample was received by the laboratory/organization performing the testing: 02/03/2023

The quantity of what the sample constitutes: 1 bag

A brief description of the sample: RHMA-G-SP Aggregate

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:

The plant number: 106835

A detailed description of where the material sample was collected: Belt Cut at All American Corona Plant

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: 2023-02-03-27-1

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

Verified Date: 02/08/2023

Date Tested: 02/06/2023

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:

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	81 %
Cumulative percent passing the 3/8 in. sieve	70 %
Cumulative percent passing the #4 sieve	31 %
Cumulative percent passing the #8 sieve	15 %
Cumulative percent passing the #16 sieve	10 %
Cumulative percent passing the #30 sieve	7 %
Cumulative percent passing the #50 sieve	4 %
Cumulative percent passing the #100 sieve	3 %
Cumulative percent passing the #200 sieve	2.2 %

Test 2 of 2

DIME Test ID: 2023-02-03-27-2

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)