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Sample Record for 2023-04-25-45

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

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: 2023-04-25-45
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: 04/25/2023
Date that the sample was received by the laboratory/organization performing the testing: 04/26/2023
The quantity of what the sample constitutes: 4 Bags
A brief description of the sample: 1/2 HMA Type A
From where was the sample collected: Manufacturer
Laboratory sample identification: Rich_23_123
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Vallejo

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-48-0002
The fabricator's/manufacturer's product name for the sample: 1/2 HMA Type A
The fabricator/manufacturer designation for the sample: Batch plant bins
The plant number:
A detailed description of where the material sample was collected: Bins 1, 2, 3
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: 4
Aggregate Mix Number: 320914

Test Results

Test 1 of 2

DIME Test ID: 2023-04-25-45-1
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: 04/26/2023
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 97 %
Cumulative percent passing the 3/8 in. sieve 76 %
Cumulative percent passing the #4 sieve 58 %
Cumulative percent passing the #8 sieve 37 %
Cumulative percent passing the #16 sieve 20 %
Cumulative percent passing the #30 sieve 14 %
Cumulative percent passing the #50 sieve 10 %
Cumulative percent passing the #100 sieve 7 %
Cumulative percent passing the #200 sieve 4.9 %

Test 2 of 2

DIME Test ID: 2023-04-25-45-2
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)
Verified Date: 07/27/2023
Date Tested: 04/26/2023
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:
Sand Equivalent 67