Project Information

Project ID: 994614 DEA: 112N1624 EFIS: 1122000133 QA Service Level: 1

DIST-CO-RTE-PM: 11-IMP,SD-7,15,52,56,67,etc.-Var

Work Description: PAVEMENT DELINEATION AND MARKING.

Location Description: IMPERIAL AND SAN DIEGO COUNTIES AT VARIOUS LOCATIONS

Contractor Name: STERNDAHL ENTERPRISES LLC

Contractor Address: 11861 Branford St., San Valley, CA 91352

Resident Engineer: Benjamin Haney Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-09-19-74

TL Number from the TL Form:

Sample Submitted By Organization: CT D11 - District 11 Materials Laboratory

Sample Organization Contact: (858) 688-1570

Type of Sample: Quality Assurance

Type of Material: Aggregate

Sample Taken Date: 09/19/2023

Date that the sample was received by the laboratory/organization performing the testing: 10/04/2023

The quantity of what the sample constitutes: 1 bag

A brief description of the sample: Micro-surfacing

From where was the sample collected: Job Site

Laboratory sample identification: 9413-S

Structure unique identifier:

Structure name:

The fabricator/manufacturer/facility name: Coachella Valley Aggregates

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-00-0000

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

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

Primary Aggregate Nominal Size: 3/8 inch

The concrete mix design number:

Lot number:

Sublot number:

Aggregate Mix Number:

Test Results

Test 1 of 2

DIME Test ID: 2023-09-19-74-1

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

Verified Date: 01/08/2024

Date Tested: 12/06/2023

Submitted By Organization: CT D11 - District 11 Materials Laboratory

Organization Address: 7177 Opportunity Road,

Organization City: San Diego

Organization State: CA

Organization Zipcode: 92111

Organization Email: dave.m.cortez@dot.ca.gov

Organization Phone: (858) 688-1570

General Comments for this Test:

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	100 %
Cumulative percent passing the 3/8 in. sieve	100 %
Cumulative percent passing the #4 sieve	83 %
Cumulative percent passing the #8 sieve	55 %
Cumulative percent passing the #16 sieve	33 %
Cumulative percent passing the #30 sieve	22 %
Cumulative percent passing the #50 sieve	14 %
Cumulative percent passing the #100 sieve	9 %
Cumulative percent passing the #200 sieve	5.7 %

Test 2 of 2

DIME Test ID: 2023-09-19-74-2

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)