Project Information

Project ID: 215753 DEA: 050N72U4 EFIS: 0520000169 QA Service Level: 1

DIST-CO-RTE-PM: 05-SB-101-4.4/R7.7

Work Description: Please cc Office Engineer Ni Nyoman Paul on reports sent to RE and SR. Construct High Occupancy Vehicle (HOV) lanes on U.S. Route 101 and rehabilitation - Segment 4B.

Location Description: 101 freeway in Summerland, CA

Contractor Name: GRANITE CONSTRUCTION COMPANY

Contractor Address: 5335 Debbie Road, Santa Barbara, CA 93111

Resident Engineer: Luobao Cai Structure Rep.: Emiliano Berntsen

Sample Information

DIME Sample ID: 2023-03-03-39

TL Number from the TL Form:

Sample Submitted By Organization: CT D05 - Carpinteria Field Laboratory

Sample Organization Contact: (805) 621-3616

Type of Sample: Acceptance

Type of Material: Aggregate

Sample Taken Date: 03/03/2023

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

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): 91-56-0034

The fabricator's/manufacturer's product name for the sample: 13762

The fabricator/manufacturer designation for the sample:

The plant number:

A detailed description of where the material sample was collected: HMA Plant Cold Feed Conveyor

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: 3

Sublot number: 13

Aggregate Mix Number: 13762

Test Results

Test 1 of 2

DIME Test ID: 2023-03-03-39-1

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

Verified Date: 03/20/2023

Date Tested: 03/07/2023

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	98 %
Cumulative percent passing the 1/2 in. sieve	83 %
Cumulative percent passing the 3/8 in. sieve	75 %
Cumulative percent passing the #4 sieve	56 %
Cumulative percent passing the #8 sieve	40 %
Cumulative percent passing the #16 sieve	30 %
Cumulative percent passing the #30 sieve	21 %
Cumulative percent passing the #50 sieve	14 %
Cumulative percent passing the #100 sieve	8 %
Cumulative percent passing the #200 sieve	4.6 %

Test 2 of 2

DIME Test ID: 2023-03-03-39-2

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)