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Sample Record for 2023-02-10-55

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Project Information

Project ID: 215486 DEA: 040A0204 EFIS: 0400000129 QA Service Level: 1
DIST-CO-RTE-PM: 04-SON-1-15-15.7
Work Description: Construct roadway and bridge with structural concrete and CIDH piling
Location Description: District-County-Route-Post Mile: 04-Son-1-R15.0/R15.7
Contractor Name: BRIDGEWAY CIVIL CONSTRUCTORS, INC.
Contractor Address: 4950 Allison Parkway, # A, Vacaville, CA 95688
Resident Engineer: Fabio La Serna Structure Rep.: Bunma Nou

Sample Information

DIME Sample ID: 2023-02-10-55
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - Petaluma Field Laboratory
Sample Organization Contact: (510) 385-6841
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 02/10/2023
Date that the sample was received by the laboratory/organization performing the testing: 02/10/2023
The quantity of what the sample constitutes: 1 bag
A brief description of the sample: 3/4 HMA aggregates
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Bodean - Santa Rosa

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-49-0032
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: Material pulled from bin 4
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number: D04-JMF-22-011
Lot number: 1
Sublot number: 2
Aggregate Mix Number:

Test Results

Test 1 of 1

DIME Test ID: 2023-02-10-55-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 03/03/2023
Date Tested: 02/10/2023
Submitted By Organization: CT D04 - Petaluma Field Laboratory
Organization Address: 5675 Gibraltar Drive,
Organization City: Pleasanton
Organization State: CA
Organization Zipcode: 94588
Organization Email: glenn.cea@dot.ca.gov
Organization Phone: (510) 385-6841
General Comments for this Test: lot 1 sublot 2 of 3/4 HMA with RAP bin# 4, 12%.
Test Result Compliance: complies
Additional Comments When Verified:
What type of gradation is being tested? HMA Gradation
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 21 %
Cumulative percent passing the 3/8 in. sieve 9 %
Cumulative percent passing the #4 sieve 2 %
Cumulative percent passing the #8 sieve 1 %
Cumulative percent passing the #16 sieve 1 %
Cumulative percent passing the #30 sieve 1 %
Cumulative percent passing the #50 sieve 1 %
Cumulative percent passing the #100 sieve 0 %
Cumulative percent passing the #200 sieve 0.1 %