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Sample Record for 2023-05-18-61

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

Project Information

Project ID: 215396 DEA: 042K8404 EFIS: 0417000031 QA Service Level: 1
DIST-CO-RTE-PM: 04-SOL-29,80-0.0,0.8/1.6
Work Description: HMA, STRUCTURAL CONCRETE, CIDH PILING AND REBAR.
Location Description: SOLANO COUNTY IN VALLEJO AT ROUTE 80/29 SEPARATION AND ON ROUTE 80 FROM 0.2 MILE NORTH OF CARQUINEZ BRIDGE TOLL PLAZA TO 0.3 MILE SOUTH OF MAGAZINE STREET OVERCROSSING
Contractor Name: OC Jones & Sons Inc
Contractor Address: 1520 4th Street, Berkeley, CA 94710
Resident Engineer: Noel Aquino Structure Rep.: Angelo Perez

Sample Information

DIME Sample ID: 2023-05-18-61
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - Concord Field Laboratory
Sample Organization Contact: (510) 714-7019
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 05/18/2023
Date that the sample was received by the laboratory/organization performing the testing: 05/19/2023
The quantity of what the sample constitutes: 2 bags
A brief description of the sample: 3/4 HMA Type A
From where was the sample collected: Manufacturer
Laboratory sample identification: Con_23_499
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: 3/4 HMA Type A
The fabricator/manufacturer designation for the sample: Drum
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: 3/4 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number: 411101510LD
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2023-05-18-61-1
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: 05/25/2023
Date Tested: 05/22/2023
Submitted By Organization: CT D04 - Concord Field Laboratory
Organization Address: 2525 Stanwell Drive, Suite 100,
Organization City: Concord
Organization State: CA
Organization Zipcode: 94520
Organization Email: gurind.joshi@dot.ca.gov
Organization Phone: (510) 714-7019
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Sand Equivalent 60

Test 2 of 2

DIME Test ID: 2023-05-18-61-2
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 05/25/2023
Date Tested: 05/22/2023
Submitted By Organization: CT D04 - Concord Field Laboratory
Organization Address: 2525 Stanwell Drive, Suite 100,
Organization City: Concord
Organization State: CA
Organization Zipcode: 94520
Organization Email: gurind.joshi@dot.ca.gov
Organization Phone: (510) 714-7019
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 96 %
Cumulative percent passing the 1/2 in. sieve 81 %
Cumulative percent passing the 3/8 in. sieve 73 %
Cumulative percent passing the #4 sieve 50 %
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 11 %
Cumulative percent passing the #100 sieve 7 %
Cumulative percent passing the #200 sieve 5.3 %