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Sample Record for 2023-06-28-20

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

Project Information

Project ID: 994753 DEA: 061E8404 EFIS: 0622000104 QA Service Level: 1
DIST-CO-RTE-PM: 06---
Work Description:
Location Description:
Contractor Name: Griffith Co.
Contractor Address: 12200 Bloomfield Ave, Santa Fe Springs, CA 90670
Resident Engineer: Trever Shiplee Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-06-28-20
TL Number from the TL Form:
Sample Submitted By Organization: CT D06 - Bakersfield Field Laboratory
Sample Organization Contact: 661-549-8281
Type of Sample: Department Acceptance
Type of Material: Aggregate
Sample Taken Date: 06/28/2023
Date that the sample was received by the laboratory/organization performing the testing: 06/29/2023
The quantity of what the sample constitutes: L1SL 7 2 bags cold feeds and 1 bag Rap
A brief description of the sample: HMA Type A
From where was the sample collected: Source
Laboratory sample identification: L1SL7
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Griffith Edmonston

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-15-0068
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: HMA Plant Cold Feed
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: 1
Sublot number: 7
Aggregate Mix Number:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2023-06-28-20-1
Test Method: AASHTO T11-5: Standard Method of Test for Materials Finer Than 75-μm (No. 200) Sieve in Mineral Aggregates by Washing
Verified Date: 06/29/2023
Date Tested: 06/29/2023
Submitted By Organization: CT D06 - Bakersfield Field Laboratory
Organization Address: 1824 Norris Road,
Organization City: Bakersfield
Organization State: CA
Organization Zipcode: 93308
Organization Email: kulwinder.rai@dot.ca.gov
Organization Phone: (661) 549-8281
General Comments for this Test: L1SL7
Test Result Compliance: complies
Additional Comments When Verified:
Which test procedure is being used Method A
Percent of sample passing the #200 sieve (by mass) 9 %

Test 2 of 2

DIME Test ID: 2023-06-28-20-2
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 06/29/2023
Date Tested: 06/29/2023
Submitted By Organization: CT D06 - Bakersfield Field Laboratory
Organization Address: 1824 Norris Road,
Organization City: Bakersfield
Organization State: CA
Organization Zipcode: 93308
Organization Email: kulwinder.rai@dot.ca.gov
Organization Phone: (661) 549-8281
General Comments for this Test: L1SL7
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 87 %
Cumulative percent passing the 3/8 in. sieve 73 %
Cumulative percent passing the #4 sieve 51 %
Cumulative percent passing the #8 sieve 38 %
Cumulative percent passing the #16 sieve 27 %
Cumulative percent passing the #30 sieve 20 %
Cumulative percent passing the #50 sieve 14 %
Cumulative percent passing the #100 sieve 9 %
Cumulative percent passing the #200 sieve 5.1 %