Project Information

Project ID: 994368 DEA: 040K7804 EFIS: 0416000138 QA Service Level: 1

DIST-CO-RTE-PM: 04-SM-84-21.5/25.7

Work Description: REPLACE AC SURFACING, UPGRADE CURB RAMPS, REPLACE MBGR WITH MGS.

Location Description: SAN MATEO COUNTY IN WOODSIDE AND REDWOOD CITY ON ROUTE 84 FROM ROUTE 280 TO ROUTE 101

Contractor Name: GHILOTTI BROS., INC.

Contractor Address: 525 Jacoby Street, San Rafael, CA 94901

Resident Engineer: Mohamed Fouad Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2024-07-31-64

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: 07/31/2024

Date that the sample was received by the laboratory/organization performing the testing: 08/01/2024

The quantity of what the sample constitutes: 0-750 Tons

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

From where was the sample collected: Source

Laboratory sample identification:

Structure unique identifier:

Structure name:

The fabricator/manufacturer/facility name: DSG Sunol Plant

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-01-0007

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: Sample collected from belt stream at the 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: 2024-07-31-64-1

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

Verified Date: 08/10/2024

Date Tested: 08/01/2024

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	98 %
Cumulative percent passing the 1/2 in. sieve	86 %
Cumulative percent passing the 3/8 in. sieve	70 %
Cumulative percent passing the #4 sieve	26 %
Cumulative percent passing the #8 sieve	13 %
Cumulative percent passing the #16 sieve	8 %
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	2.1 %

Test 2 of 2

DIME Test ID: 2024-07-31-64-2

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)