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Sample Record for 2023-11-30-51

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 212246 DEA: 053307A4 EFIS: 0514000027 QA Service Level: 1
DIST-CO-RTE-PM: 05-SLO-46-49.7/54.6
Work Description: Cholame Segment
Location Description:
Contractor Name: Atkinson Construction
Contractor Address: 18201 Von Karman - Suite 800, Irvine, CA 92612
Resident Engineer: Andrew Borrelli Structure Rep.: Dave Lewis

Sample Information

DIME Sample ID: 2023-11-30-51
TL Number from the TL Form:
Sample Submitted By Organization: CT D05 - Whitley Gardens Field Laboratory
Sample Organization Contact: 805-540-9933
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 11/30/2023
Date that the sample was received by the laboratory/organization performing the testing: 11/30/2023
The quantity of what the sample constitutes: Lot 3 Sublot 6 - 750 tons
A brief description of the sample: 3/4 HMA Type A w/ 15% RAP & WMA
From where was the sample collected: Manufacturer
Laboratory sample identification: 231130 L3SL6
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: SPM- Avenal

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-10-0006
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: 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: 3
Sublot number: 6
Aggregate Mix Number: L230077A
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2023-11-30-51-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 12/15/2023
Date Tested: 12/01/2023
Submitted By Organization: CT D05 - Whitley Gardens Field Laboratory
Organization Address: 102 South Whitley Gardens Drive,
Organization City: Paso Robles
Organization State: CA
Organization Zipcode: 93346
Organization Email: kyle.engen@dot.ca.gov
Organization Phone: (805) 540-9933
General Comments for this Test: Passes with RAP gradation
Test Result Compliance: complies
Additional Comments When Verified:
What type of gradation is being tested? HMA Gradation
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 86 %
Cumulative percent passing the 3/8 in. sieve 0 %
Cumulative percent passing the #4 sieve 45 %
Cumulative percent passing the #8 sieve 29 %
Cumulative percent passing the #16 sieve 0 %
Cumulative percent passing the #30 sieve 14 %
Cumulative percent passing the #50 sieve 0 %
Cumulative percent passing the #100 sieve 0 %
Cumulative percent passing the #200 sieve 4.9 %