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: 2023-06-26-96

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: 06/26/2023

Date that the sample was received by the laboratory/organization performing the testing: 06/26/2023

The quantity of what the sample constitutes: LOT 1 SUBLOT 3

A brief description of the sample: 3/4-INCH RHMA-G

From where was the sample collected: Source

Laboratory sample identification:

Structure unique identifier:

Structure name:

The fabricator/manufacturer/facility name: Vulcan Lake Herman Batch Plant

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-48-0002

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: Sample Pickup from 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: 1

Sublot number: 3

Aggregate Mix Number: 226107

Test Results

Test 1 of 2

DIME Test ID: 2023-06-26-96-5

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

Verified Date: 09/15/2023

Date Tested: 06/26/2023

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: LOT 1 SUBLOT 3 Passed Vulcan lake Herman Batch Plant

Test Result Compliance: complies

Additional Comments When Verified:

What type of gradation is being tested?	Combined Gradation
Cumulative percent passing the 2 in. sieve	0 %
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	97 %
Cumulative percent passing the 1/2 in. sieve	83 %
Cumulative percent passing the 3/8 in. sieve	70 %
Cumulative percent passing the #4 sieve	31 %
Cumulative percent passing the #8 sieve	15 %
Cumulative percent passing the #16 sieve	9 %
Cumulative percent passing the #30 sieve	5 %
Cumulative percent passing the #50 sieve	3 %
Cumulative percent passing the #100 sieve	2 %
Cumulative percent passing the #200 sieve	1 %

Test 2 of 2

DIME Test ID: 2023-06-26-96-6

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)