Project Information

Project ID: 214640 DEA: 042J7204 EFIS: 0415000016 QA Service Level: 1

DIST-CO-RTE-PM: 04-CC-580-1.17

Work Description: STEGE DRAIN SUPER-STRUCTURE, PRECAST VOIDED SLABS

Location Description: CONTRA COSTA COUNTY IN RICHMOND FROM 0.3 MILE EAST OF STEGE DRAIN BRIDGE TO 0.3 MILE WEST OF BAYVIEW AVENUE OVERCROSSING

Contractor Name: GORDON N BALL INC

Contractor Address: 333 CAMILLE AVENUE, ALAMO CA 94507

Resident Engineer: Luis Melendez Structure Rep.: Laraine Woo

Sample Information

DIME Sample ID: 2023-04-26-41

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: 04/26/2023

Date that the sample was received by the laboratory/organization performing the testing: 04/27/2023

The quantity of what the sample constitutes: 2 Bags

A brief description of the sample: 1/2 HMA Type A

From where was the sample collected: Manufacturer

Laboratory sample identification: Rich_23_124

Structure unique identifier:

Structure name:

The fabricator/manufacturer/facility name: Dutra Richmond

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-21-0008

The fabricator's/manufacturer's product name for the sample: 1/2 HMA Type A

The fabricator/manufacturer designation for the sample: Drum Plant

The plant number:

A detailed description of where the material sample was collected: coldfeed

Where the material sample would have been placed if not sampled: Roadway

Primary Aggregate Nominal Size: 1/2 inch

The concrete mix design number:

Lot number: 1

Sublot number: 1

Aggregate Mix Number: L210141WMA

Test Results

Test 1 of 2

DIME Test ID: 2023-04-26-41-1

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

Verified Date: 07/27/2023

Date Tested: 04/27/2023

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:

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	91 %
Cumulative percent passing the #4 sieve	56 %
Cumulative percent passing the #8 sieve	35 %
Cumulative percent passing the #16 sieve	22 %
Cumulative percent passing the #30 sieve	16 %
Cumulative percent passing the #50 sieve	12 %
Cumulative percent passing the #100 sieve	8 %
Cumulative percent passing the #200 sieve	5.8 %

Test 2 of 2

DIME Test ID: 2023-04-26-41-2

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)