Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994513 DEA: 043Y0604 EFIS: 0423000193
QA Service Level: 1
DIST-CO-RTE-PM: 04-MRN-1-var/var
Work Description: PAVEMENT REPAIR
Location Description:
Contractor Name: Team Ghilotti
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown
DIME Sample ID: 2023-04-11-57
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - Richmond Field Laboratory
Sample Organization Contact: (510) 231-7151
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 04/11/2023
Date that the sample was received by the laboratory/organization performing the testing: 04/14/2023
The quantity of what the sample constitutes: 5 Bags
A brief description of the sample: 3/4 HMA Type A
From where was the sample collected: Manufacturer
Laboratory sample identification: Rich_23_105
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: BoDean Santa Rosa
Source Identification (SMARA, name of Pit or Job Site): 91-49-0032
The fabricator's/manufacturer's product name for the sample: 3/4 HMA Type A
The fabricator/manufacturer designation for the sample: Batch
The plant number:
A detailed description of where the material sample was collected: Bins 1, 2, 3, and 4
Where the material sample would have been placed if not sampled: Roadway
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number:
Lot number: 1
Sublot number: 9
Aggregate Mix Number: 700SPW16
DIME Test ID: 2023-04-11-57-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 04/24/2023
Date Tested: 04/14/2023
Submitted By Organization: CT D04 - Richmond Field Laboratory
Organization Address: 3401 Regatta Boulevard,
Organization City: Richmond
Organization State: CA
Organization Zipcode: 94508
Organization Email: santiago.sequeira@dot.ca.gov
Organization Phone: (510) 385-7641
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
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What type of gradation is being tested?
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HMA Gradation
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Cumulative percent passing the 1 1/2 in. sieve
|
100 %
|
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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
|
88 %
|
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Cumulative percent passing the 3/8 in. sieve
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74 %
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Cumulative percent passing the #4 sieve
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42 %
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Cumulative percent passing the #8 sieve
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29 %
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Cumulative percent passing the #16 sieve
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18 %
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Cumulative percent passing the #30 sieve
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11 %
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Cumulative percent passing the #50 sieve
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7 %
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Cumulative percent passing the #100 sieve
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4 %
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Cumulative percent passing the #200 sieve
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2 %
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