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Sample Record for 2023-08-13-1

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

Project Information

Project ID: 994884 DEA: 061A3204 EFIS: 0619000233 QA Service Level: 1
DIST-CO-RTE-PM: 06-FRE-180-R62.9/R65.3
Work Description:
Location Description:
Contractor Name: CAL VALLEY CONSTRUCTION
Contractor Address: 5125 N. Gates Ave, Ste 102, Fresno, CA 93722
Resident Engineer: Chris Wilfong Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-08-13-1
TL Number from the TL Form:
Sample Submitted By Organization: CT D06 - Millbrook Field Laboratory
Sample Organization Contact: (559) 417-5341
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 08/13/2023
Date that the sample was received by the laboratory/organization performing the testing: 08/13/2023
The quantity of what the sample constitutes: 217
A brief description of the sample: Coldfeed
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name: Hwy 180
The fabricator/manufacturer/facility name: Vulcan Ashlan

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-20-0016
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: Cold Feed Sampling Chute
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: 12
Aggregate Mix Number:

Test Results

Test 1 of 2

DIME Test ID: 2023-08-13-1-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 08/17/2023
Date Tested: 08/10/2023
Submitted By Organization: CT D06 - Millbrook Field Laboratory
Organization Address: 3240 North Millbrook Avenue,
Organization City: Fresno
Organization State: CA
Organization Zipcode: 93726
Organization Email: tomas.silva@dot.ca.gov
Organization Phone: (559) 417-5341
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 93 %
Cumulative percent passing the 1/2 in. sieve 77 %
Cumulative percent passing the 3/8 in. sieve 61 %
Cumulative percent passing the #4 sieve 48 %
Cumulative percent passing the #8 sieve 37 %
Cumulative percent passing the #16 sieve 29 %
Cumulative percent passing the #30 sieve 21 %
Cumulative percent passing the #50 sieve 12 %
Cumulative percent passing the #100 sieve 6 %
Cumulative percent passing the #200 sieve 3.6 %

Test 2 of 2

DIME Test ID: 2023-08-13-1-2
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: 08/17/2023
Date Tested: 08/10/2023
Submitted By Organization: CT D06 - Millbrook Field Laboratory
Organization Address: 3240 North Millbrook Avenue,
Organization City: Fresno
Organization State: CA
Organization Zipcode: 93726
Organization Email: tomas.silva@dot.ca.gov
Organization Phone: (559) 417-5341
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Sand Equivalent 82