Project Information

Project ID: 994425 DEA: 040K5204 EFIS: 0416000098 QA Service Level: 1

DIST-CO-RTE-PM: 04-SON-12-11.0/T17.4

Work Description: Overlay with RHMA, replace guardrails, approach slabs and signs.

Location Description: Construction on State Highway in Sonoma County from Llano Road to Farmers Lane.

Contractor Name: FBD VANGUARD CONSTRUCTION, INC. (TOM SWISHER)

Contractor Address: 550 Greenville Road, Livermore, CA 94550

Resident Engineer: Leonard Brajnikoff Structure Rep.: Anthony Tierra

Sample Information

DIME Sample ID: 2023-08-08-88

TL Number from the TL Form:

Sample Submitted By Organization: CT D04 - Petaluma Field Laboratory

Sample Organization Contact: (510) 385-6841

Type of Sample: Quality Assurance

Type of Material: Aggregate

Sample Taken Date: 08/08/2023

Date that the sample was received by the laboratory/organization performing the testing: 08/08/2023

The quantity of what the sample constitutes: 1 bag

A brief description of the sample: 3/4 RHMA-G

From where was the sample collected: Manufacturer

Laboratory sample identification:

Structure unique identifier:

Structure name:

The fabricator/manufacturer/facility name: Vulcan TRD

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-49-0004

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: Conveyer Belt-HMA 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: 1

Sublot number: 4

Aggregate Mix Number:

Test Results

Test 1 of 2

DIME Test ID: 2023-08-08-88-1

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

Verified Date: 02/14/2024

Date Tested: 08/08/2023

Submitted By Organization: CT D04 - Petaluma Field Laboratory

Organization Address: 5675 Gibraltar Dr.,

Organization City: Pleasanton

Organization State: CA

Organization Zipcode: 94588

Organization Email: glenn.cea@dot.ca.gov

Organization Phone: (510) 385-6841

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	98 %
Cumulative percent passing the 1/2 in. sieve	89 %
Cumulative percent passing the 3/8 in. sieve	69 %
Cumulative percent passing the #4 sieve	27 %
Cumulative percent passing the #8 sieve	16 %
Cumulative percent passing the #16 sieve	9 %
Cumulative percent passing the #30 sieve	6 %
Cumulative percent passing the #50 sieve	4 %
Cumulative percent passing the #100 sieve	3 %
Cumulative percent passing the #200 sieve	2.2 %

Test 2 of 2

DIME Test ID: 2023-08-08-88-2

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)