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Sample Record for 2023-06-12-20

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

Project Information

Project ID: 994401 DEA: 09379304 EFIS: 0919000007 QA Service Level: 1
DIST-CO-RTE-PM: 09-INY-127-21.0/34.5,41.8/49.4
Work Description: PARTIAL DEPTH RECYCLE AND HOT MIX ASPHALT (TYPE A).
Location Description: INYO COUNTY NEAR SHOSHONE FROM 4.6 MILES NORTH OF ROUTE 178 WEST TO 7.6 MILES SOUTH OF ROUTE 190 AND FROM 0.3 MILE SOUTH OF ROUTE 190 TO NEVADA STATE LINE
Contractor Name: HAT CREEK CONSTRUCTION & MATERIALS INC.
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-06-12-20
TL Number from the TL Form:
Sample Submitted By Organization: CT D09 - Bishop Field Laboratory
Sample Organization Contact: (760) 872-5211
Type of Sample: Acceptance
Type of Material: Aggregate
Sample Taken Date: 06/12/2023
Date that the sample was received by the laboratory/organization performing the testing: 06/16/2023
The quantity of what the sample constitutes: 1 bag
A brief description of the sample: Coldfeed
From where was the sample collected: Source
Laboratory sample identification: CF-82
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Wulfenstein Construction

Material Information

Source Identification (SMARA, name of Pit or Job Site): 99-99-9999
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: Sampling device at plant
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2023-06-12-20-1
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: 06/20/2023
Date Tested: 06/15/2023
Submitted By Organization: CT D09 - Bishop Field Laboratory
Organization Address: 500 South Main Street,
Organization City: Bishop
Organization State: CA
Organization Zipcode: 93514
Organization Email: chris.talbot@dot.ca.gov
Organization Phone: (760) 872-0794
General Comments for this Test: CF-82
Test Result Compliance: complies
Additional Comments When Verified:
Sand Equivalent 78

Test 2 of 2

DIME Test ID: 2023-06-12-20-2
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 06/20/2023
Date Tested: 06/15/2023
Submitted By Organization: CT D09 - Bishop Field Laboratory
Organization Address: 500 South Main Street,
Organization City: Bishop
Organization State: CA
Organization Zipcode: 93514
Organization Email: chris.talbot@dot.ca.gov
Organization Phone: (760) 872-0794
General Comments for this Test: CF-82
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 84 %
Cumulative percent passing the 3/8 in. sieve 73 %
Cumulative percent passing the #4 sieve 53 %
Cumulative percent passing the #8 sieve 33 %
Cumulative percent passing the #16 sieve 20 %
Cumulative percent passing the #30 sieve 13 %
Cumulative percent passing the #50 sieve 9 %
Cumulative percent passing the #100 sieve 6 %
Cumulative percent passing the #200 sieve 4 %