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Sample Record for 2024-09-05-5

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Project Information

Project ID: 1000010 DEA: 061F8904 EFIS: 0623000107 QA Service Level: 1
DIST-CO-RTE-PM: 06-TUL-63-4.0/5.5
Work Description: COLD PLANE AC PAVEMENT AND PLACE HMA.
Location Description: TULARE COUNTY IN AND NEAR VISALIA FROM AVENUE 264 TO VISALIA PARKWAY
Contractor Name: A. TEICHERT & SON INC DBA TEICHERT CONSTRUCTION
Contractor Address: 5771 S. Toyota Ave, Fresno, CA 93725
Resident Engineer: Tyler Street Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2024-09-05-5
TL Number from the TL Form:
Sample Submitted By Organization: CT D06 - Bakersfield Field Laboratory
Sample Organization Contact: 661-549-8281
Type of Sample: Acceptance
Type of Material: Aggregate
Sample Taken Date: 09/05/2024
Date that the sample was received by the laboratory/organization performing the testing: 09/05/2024
The quantity of what the sample constitutes: L2SL3
A brief description of the sample: 1/2 RHMA-G
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Jaxon Baker/Deer Creek

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-54-0021
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: coldfeed
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: 2
Sublot number: 3
Aggregate Mix Number:
Test results on following page(s): 3

Test Results

Test 1 of 3

DIME Test ID: 2024-09-05-5-1
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: 09/05/2024
Date Tested: 09/05/2024
Submitted By Organization: CT D06 - Bakersfield Field Laboratory
Organization Address: 1824 Norris Road,
Organization City: Bakersfield
Organization State: CA
Organization Zipcode: 93308
Organization Email: kulwinder.rai@dot.ca.gov
Organization Phone: (661) 549-8281
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Which test procedure is being used Method A
Percent of sample passing the #200 sieve (by mass) 10.9 %

Test 2 of 3

DIME Test ID: 2024-09-05-5-2
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: 09/05/2024
Date Tested: 09/05/2024
Submitted By Organization: CT D06 - Bakersfield Field Laboratory
Organization Address: 1824 Norris Road,
Organization City: Bakersfield
Organization State: CA
Organization Zipcode: 93308
Organization Email: kulwinder.rai@dot.ca.gov
Organization Phone: (661) 549-8281
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Sand Equivalent 86

Test 3 of 3

DIME Test ID: 2024-09-05-5-3
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 09/05/2024
Date Tested: 09/05/2024
Submitted By Organization: CT D06 - Bakersfield Field Laboratory
Organization Address: 1824 Norris Road,
Organization City: Bakersfield
Organization State: CA
Organization Zipcode: 93308
Organization Email: kulwinder.rai@dot.ca.gov
Organization Phone: (661) 549-8281
General Comments for this Test:
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 93 %
Cumulative percent passing the 3/8 in. sieve 81 %
Cumulative percent passing the #4 sieve 36 %
Cumulative percent passing the #8 sieve 19 %
Cumulative percent passing the #16 sieve 11 %
Cumulative percent passing the #30 sieve 7 %
Cumulative percent passing the #50 sieve 5 %
Cumulative percent passing the #100 sieve 4 %
Cumulative percent passing the #200 sieve 4 %