Project Information

Project ID: 215129 DEA: 050N73U4 EFIS: 0520000166 QA Service Level: 1

DIST-CO-RTE-PM: 05-SB-101-7.3/9.6

Work Description: !!Please CC Office Engineer Gabrielle Herrera on reports to RE and SR!! Segment 4C - Summerland: Construct HOV lanes and rehabilitation. Source inspection of sign structure trusses, lighting structures, steel soldier piles, epoxy coated rebar,

Location Description: SUMMERLAND FROM 0.2 MILES NORTH OF PARDARO LANE OVERCROSSING TO SAN YSIDRO CREEK BRIDGE

Contractor Name: GRANITE CONSTRUCTION COMPANY

Contractor Address: PO Box 6744, Santa Barbara , CA 93111

Resident Engineer: Luobao Cai Structure Rep.: Emiliano Berntsen

Sample Information

DIME Sample ID: 2023-01-26-70

TL Number from the TL Form:

Sample Submitted By Organization: CT D05 - Carpinteria Field Laboratory

Sample Organization Contact: (805) 621-3616

Type of Sample: Quality Assurance

Type of Material: Aggregate

Sample Taken Date: 01/26/2023

Date that the sample was received by the laboratory/organization performing the testing: 01/27/2023

The quantity of what the sample constitutes: 50 tons

A brief description of the sample: Asphalt Aggregates

From where was the sample collected: Supplier

Laboratory sample identification:

Structure unique identifier:

Structure name:

The fabricator/manufacturer/facility name: Granite Santa Paula

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-19-0046

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:

Lot number: 2

Sublot number: 10

Aggregate Mix Number: JMF 13762

Test Results

Test 1 of 2

DIME Test ID: 2023-01-26-70-1

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

Verified Date: 02/21/2023

Date Tested: 01/27/2023

Submitted By Organization: CT D05 - Carpinteria Field Laboratory

Organization Address: 21 Griffin Road North,

Organization City: Windsor

Organization State: CT

Organization Zipcode: 06095-1590

Organization Email: dlachaine@trccompanies.com

Organization Phone: (805) 621-3616

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	100 %
Cumulative percent passing the 1/2 in. sieve	85 %
Cumulative percent passing the 3/8 in. sieve	76 %
Cumulative percent passing the #4 sieve	56 %
Cumulative percent passing the #8 sieve	39 %
Cumulative percent passing the #16 sieve	29 %
Cumulative percent passing the #30 sieve	20 %
Cumulative percent passing the #50 sieve	13 %
Cumulative percent passing the #100 sieve	8 %
Cumulative percent passing the #200 sieve	4.7 %

Test 2 of 2

DIME Test ID: 2023-01-26-70-2

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)