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Sample Record for 2023-09-08-71

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

Project Information

Project ID: 994611 DEA: 112N1214 EFIS: 1121000171 QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-94-39.0/R49.9
Work Description: MICROSURFACING, SHOULDER BACKING, RUMBLE STRIP, & STRIPING.
Location Description: SAN DIEGO NEAR POTRERO AND CANYON CITY FROM JUNCTION ROUTE 188 TO 3 MILES EAST OF CAMPO CREEK BRIDGE (BR NO. 57-0118)
Contractor Name: VSS INTERNATIONAL, INC.
Contractor Address: 3785 Channel Drive West, Sacramento, CA 95691
Resident Engineer: Fahad Masud Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-09-08-71
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: 09/08/2023
Date that the sample was received by the laboratory/organization performing the testing: 09/14/2023
The quantity of what the sample constitutes: 1 bag
A brief description of the sample: Aggregates
From where was the sample collected: Source
Laboratory sample identification: 9103-S
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Otay

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-37-0035
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
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 2

DIME Test ID: 2023-09-08-71-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 01/24/2024
Date Tested: 01/02/2024
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: Pass
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 52 %
Cumulative percent passing the #16 sieve 31 %
Cumulative percent passing the #30 sieve 20 %
Cumulative percent passing the #50 sieve 11 %
Cumulative percent passing the #100 sieve 9 %
Cumulative percent passing the #200 sieve 5.3 %

Test 2 of 2

DIME Test ID: 2023-09-08-71-2
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)
Verified Date: 01/24/2024
Date Tested: 01/02/2024
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: Complies min 60
Test Result Compliance: complies
Additional Comments When Verified:
Sand Equivalent 75