Project Information

Project ID: 994602 DEA: 09392004 EFIS: 0922000036 QA Service Level: 1

DIST-CO-RTE-PM: 09-INY-395-44.9/50.9,52.9/54.5

Work Description: HOT MIX ASPHALT (TYPE-A), SHOULDER BACKING, AND STRIPING.

Location Description: INYO COUNTY NEAR LONE PINE FROM 1.3 MILES SOUTH OF COTTONWOOD ROAD TO 2 MILES NORTH OF BARTLETT ROAD AND FROM 0.3 MILE SOUTH OF LUBKEN CANYON ROAD TO 1.1 MILES SOUTH OF GOLF COURSE ROAD

Contractor Name: SULLY-MILLER CONTRACTING COMPANY

Contractor Address: Unknown

Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-08-17-1

TL Number from the TL Form:

Sample Submitted By Organization: CT D09 - Bishop Field Laboratory

Sample Organization Contact: (760) 872-5211

Type of Sample: Department Acceptance

Type of Material: Aggregate

Sample Taken Date: 08/17/2023

Date that the sample was received by the laboratory/organization performing the testing: 08/18/2023

The quantity of what the sample constitutes: 1 bag

A brief description of the sample: shoulder backing

From where was the sample collected: Source

Laboratory sample identification: SB 5

Structure unique identifier:

Structure name:

The fabricator/manufacturer/facility name: F W Aggregates

Material Information

Source Identification (SMARA, name of Pit or Job Site): F W Agg Pit

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: Stockpile @ Plant

Where the material sample would have been placed if not sampled:

Primary Aggregate Nominal Size: 1/2 inch

The concrete mix design number:

Lot number:

Sublot number:

Aggregate Mix Number:

Test Results

Test 1 of 2

DIME Test ID: 2023-08-17-1-1

Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)

Verified Date: 08/21/2023

Date Tested: 08/21/2023

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: AB-05

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	100 %
Cumulative percent passing the 1/2 in. sieve	87 %
Cumulative percent passing the 3/8 in. sieve	74 %
Cumulative percent passing the #4 sieve	51 %
Cumulative percent passing the #8 sieve	38 %
Cumulative percent passing the #16 sieve	29 %
Cumulative percent passing the #30 sieve	25 %
Cumulative percent passing the #50 sieve	20 %
Cumulative percent passing the #100 sieve	16 %
Cumulative percent passing the #200 sieve	10.9 %

Test 2 of 2

DIME Test ID: 2023-08-17-1-2

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)