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Sample Record for 2021-04-20-19

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

Project Information

Project ID: 215405 DEA: 032G1604 EFIS: 0320000235 QA Service Level: 1
DIST-CO-RTE-PM: 03-YOL-45-0.6/12.9
Work Description: COLD PLANE AC PAVEMENT AND REPLACE WITH HOT MIX ASPHALT.
Location Description: YOLO COUNTY NEAR KNIGHTS LANDING FROM SYCAMORE SLOUGH BRIDGE TO YOLO COUNTY LINE ROAD
Contractor Name: All American Asphalt
Contractor Address: PO Box 635, Live Oaks, CA 95953
Resident Engineer: Luis Pompa Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-04-20-19
TL Number from the TL Form: C783795
Sample Submitted By Organization: CT HQ - Sacramento Aggregate Testing Laboratory
Sample Organization Contact: (916) 227-7204
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 04/20/2021
Date that the sample was received by the laboratory/organization performing the testing: 04/23/2021
The quantity of what the sample constitutes: 1 bag
A brief description of the sample: 3/4 HMA
From where was the sample collected: Source
Laboratory sample identification: 21-HMA-0076
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Teichert Hallwood

Material Information

Source Identification (SMARA, name of Pit or Job Site): NA
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: Hallwood 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: 11
Aggregate Mix Number:

Test Results

Test 1 of 2

DIME Test ID: 2021-04-20-19-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 05/07/2021
Date Tested: 05/03/2021
Submitted By Organization: CT HQ - Sacramento Aggregate Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: bang.d.nguyen@dot.ca.gov
Organization Phone: (916) 227-7204
General Comments for this Test:
Test Result Compliance:
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 88.4 %
Cumulative percent passing the 3/8 in. sieve 68.8 %
Cumulative percent passing the #4 sieve 42.2 %
Cumulative percent passing the #8 sieve 29.6 %
Cumulative percent passing the #16 sieve 19.7 %
Cumulative percent passing the #30 sieve 13.8 %
Cumulative percent passing the #50 sieve 9.2 %
Cumulative percent passing the #100 sieve 6.1 %
Cumulative percent passing the #200 sieve 4.06 %

Test 2 of 2

DIME Test ID: 2021-04-20-19-2
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: 05/07/2021
Date Tested: 05/04/2021
Submitted By Organization: CT HQ - Sacramento Aggregate Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: bang.d.nguyen@dot.ca.gov
Organization Phone: (916) 227-7204
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sand Equivalent 78