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Sample Record for 2023-12-08-19

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Project Information

Project ID: 214708 DEA: 07323904 EFIS: 0716000072 QA Service Level: 1
DIST-CO-RTE-PM: 07-VEN-1-21.3/28.4
Work Description: COLD PLANE AC, PLACE RUBBERIZED HOT MIX AS
Location Description: VENTURA COUNTY NEAR VENTURA FROM ROUTE 1/101 SEPARATION TO MOBIL PIER ROAD.
Contractor Name: C. A. Rasmussen, Inc.
Contractor Address: 28548 Livingston Avenue, Valencia, CA 91355
Resident Engineer: Alfred Ira Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-12-08-19
TL Number from the TL Form: C120823C
Sample Submitted By Organization: CT D07 - Plant Services
Sample Organization Contact: 562-345-3126
Type of Sample: Acceptance
Type of Material: Aggregate
Sample Taken Date: 12/08/2023
Date that the sample was received by the laboratory/organization performing the testing: 12/08/2023
The quantity of what the sample constitutes: 0-750 Tons
A brief description of the sample: 1/2" RHMA-G
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Materials HMA - Saticoy

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-19-0020, 91-19-0035
The fabricator's/manufacturer's product name for the sample: 326122 SAT VLO
The fabricator/manufacturer designation for the sample:
The plant number: Vulcan Saticoy HMA
A detailed description of where the material sample was collected: Conveyor Belt
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 3

DIME Test ID: 2023-12-08-19-1
Test Method: AASHTO T11-5: Standard Method of Test for Materials Finer Than 75-μm (No. 200) Sieve in Mineral Aggregates by Washing
Verified Date: 12/14/2023
Date Tested: 12/12/2023
Submitted By Organization: CT D07 - Plant Services
Organization Address: 13230 East Firestone Boulevard, Suite G,
Organization City: Santa Fe Springs
Organization State: CA
Organization Zipcode: 90670
Organization Email: victor.zengler@dot.ca.gov
Organization Phone: (562) 345-3126
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Which test procedure is being used Method A
Percent of sample passing the #200 sieve (by mass) 9.4 %

Test 2 of 3

DIME Test ID: 2023-12-08-19-2
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 12/14/2023
Date Tested: 12/12/2023
Submitted By Organization: CT D07 - Plant Services
Organization Address: 13230 East Firestone Boulevard, Suite G,
Organization City: Santa Fe Springs
Organization State: CA
Organization Zipcode: 90670
Organization Email: victor.zengler@dot.ca.gov
Organization Phone: (562) 345-3126
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 97 %
Cumulative percent passing the 3/8 in. sieve 87 %
Cumulative percent passing the #4 sieve 34 %
Cumulative percent passing the #8 sieve 18 %
Cumulative percent passing the #16 sieve 13 %
Cumulative percent passing the #30 sieve 9 %
Cumulative percent passing the #50 sieve 6 %
Cumulative percent passing the #100 sieve 5 %
Cumulative percent passing the #200 sieve 3.2 %

Test 3 of 3

DIME Test ID: 2023-12-08-19-3
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: 12/14/2023
Date Tested: 12/12/2023
Submitted By Organization: CT D07 - Plant Services
Organization Address: 13230 East Firestone Boulevard, Suite G,
Organization City: Santa Fe Springs
Organization State: CA
Organization Zipcode: 90670
Organization Email: victor.zengler@dot.ca.gov
Organization Phone: (562) 345-3126
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Sand Equivalent 82