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Sample Record for 2023-10-14-28

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Project Information

Project ID: 994763 DEA: 040Y2104 EFIS: 0422000253 QA Service Level: 1
DIST-CO-RTE-PM: 04-SM-101-23.0/26.1
Work Description: COLD PLANE ASPHALT CONCRETE PAVEMENT AND OVERLAY WITH RHMA.
Location Description: SAN MATEO COUNTY IN SOUTH SAN FRANCISCO AND BRISBANE FROM 0.2 MILE NORTH OF OYSTER POINT BOULEVARD OVERCROSSING TO SAN FRANCISCO COUNTY LINE
Contractor Name: GRANITE ROCK COMPANY
Contractor Address: 5225 Hellyer Ave, Suite 220, San Jose, CA 95138
Resident Engineer: Chetan Sihra Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-10-14-28
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - Hayward Field Laboratory
Sample Organization Contact: (510) 723-0168
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 10/14/2023
Date that the sample was received by the laboratory/organization performing the testing: 10/17/2023
The quantity of what the sample constitutes: 750 Tons
A brief description of the sample: 1/2 RHMA-G
From where was the sample collected: Supplier
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Granite Rock Redwood

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-35-0012
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: Plant Sampler
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: 1
Sublot number: 14
Aggregate Mix Number: D04 JMF 23 018
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2023-10-14-28-1
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: 12/22/2023
Date Tested: 10/18/2023
Submitted By Organization: CT D04 - Hayward Field Laboratory
Organization Address: 21339 Cabot Boulevard,
Organization City: Hayward
Organization State: CA
Organization Zipcode: 94545
Organization Email: pamela.brown@dot.ca.gov
Organization Phone: (510) 385-8258
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Sand Equivalent 77

Test 2 of 2

DIME Test ID: 2023-10-14-28-2
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 12/22/2023
Date Tested: 10/18/2023
Submitted By Organization: CT D04 - Hayward Field Laboratory
Organization Address: 21339 Cabot Boulevard,
Organization City: Hayward
Organization State: CA
Organization Zipcode: 94545
Organization Email: pamela.brown@dot.ca.gov
Organization Phone: (510) 385-8258
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 99 %
Cumulative percent passing the 3/8 in. sieve 84 %
Cumulative percent passing the #4 sieve 45 %
Cumulative percent passing the #8 sieve 21 %
Cumulative percent passing the #16 sieve 14 %
Cumulative percent passing the #30 sieve 8 %
Cumulative percent passing the #50 sieve 6 %
Cumulative percent passing the #100 sieve 4 %
Cumulative percent passing the #200 sieve 3 %