Project Information

Project ID: 993805 DEA: 070W1404 EFIS: 0721000062 QA Service Level: 1

DIST-CO-RTE-PM: 07-VEN-1-4.4/9.7

Work Description: COLD PLACE AC PAVEMENT AND PLACE RHMA-G.

Location Description: VENTURA COUNTY FROM BIG SYCAMORE MAINTENANCE STATION AND PARK TO 0.2 MILE SOUTH OF GALLEGUAS GREEK BRIDGE

Contractor Name: C A RASMUSSEN INC

Contractor Address: 28548 LIVINGSTON AVENUE, VALENCIA CA 91355

Resident Engineer: Ranjit Singh Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-04-20-43

TL Number from the TL Form:

Sample Submitted By Organization: CT D07 - Plant Services

Sample Organization Contact: 562-345-3126

Type of Sample: Department Acceptance

Type of Material: Aggregate

Sample Taken Date: 04/20/2023

Date that the sample was received by the laboratory/organization performing the testing: 04/28/2023

The quantity of what the sample constitutes: 1 Bags Of Coldfeed Aggregate

A brief description of the sample: 1/2" RHMA_G-SP

From where was the sample collected: Source

Laboratory sample identification:

Structure unique identifier:

Structure name:

The fabricator/manufacturer/facility name: Vulcan - Saticoy

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-19-0020

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: 1/2 inch

The concrete mix design number:

Lot number:

Sublot number:

Aggregate Mix Number:

Test Results

Test 1 of 2

DIME Test ID: 2023-04-20-43-1

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

Verified Date: 05/01/2023

Date Tested: 04/28/2023

Submitted By Organization: CT D07 - Plant Services

Organization Address: 13230 East Firestone Boulevard, Suite G,

Organization City: Santa Fe Springs

Organization State: CA

Organization Zipcode: 90670

Organization Email: victor.zengler@dot.ca.gov

Organization Phone: (562) 345-3126

General Comments for this Test:

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	100 %
Cumulative percent passing the 1/2 in. sieve	98 %
Cumulative percent passing the 3/8 in. sieve	89 %
Cumulative percent passing the #4 sieve	36 %
Cumulative percent passing the #8 sieve	20 %
Cumulative percent passing the #16 sieve	14 %
Cumulative percent passing the #30 sieve	10 %
Cumulative percent passing the #50 sieve	6 %
Cumulative percent passing the #100 sieve	4 %
Cumulative percent passing the #200 sieve	2.6 %

Test 2 of 2

DIME Test ID: 2023-04-20-43-2

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)