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Sample Record for 2020-06-29-20

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Project Information

Project ID: 214731 DEA: 051M0004 EFIS: 0519000047 QA Service Level: 1
DIST-CO-RTE-PM: 05-SLO-101-16.5/R21.5
Work Description: COLD PLANE AND RHMA-GAP GRADED OVERLAY ON EXISTING ROADWAY.
Location Description: SAN LUIS OBISPO COUNTY IN AND NEAR PISMO BEACH FROM 0.1 MILE SOUTH OF PRICE CANYON ROAD TO SAN LUIS CREEK BRIDGE
Contractor Name: PAPICH CONSTRUCTION COMPANY, INC.
Contractor Address: 398 SUNRISE TERRACE, ARROYO GRANDE, CA 93425
Resident Engineer: Lilian Bennetzen Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-06-29-20
TL Number from the TL Form:
Sample Submitted By Organization: CT D05 - San Luis Obispo District Laboratory
Sample Organization Contact: (559) 230-3109
Type of Sample: Verification
Type of Material: Aggregate
Sample Taken Date: 06/29/2020
Date that the sample was received by the laboratory/organization performing the testing: 06/29/2020
The quantity of what the sample constitutes: One JMF Verification
A brief description of the sample: Bags of Treated and Untreated
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: SPM Templeton

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-10-0006
The fabricator's/manufacturer's product name for the sample: Unknown
The fabricator/manufacturer designation for the sample: Unknown
The plant number: Unknown
A detailed description of where the material sample was collected: At the Plant
Where the material sample would have been placed if not sampled: Unknown
Primary Aggregate Nominal Size: 1/2 inch
The concrete mix design number: Unknown
Lot number: Unknown
Sublot number: Unknown
Aggregate Mix Number:

Test Results

Test 1 of 7

DIME Test ID: 2020-06-29-20-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 07/02/2020
Date Tested: 07/01/2020
Submitted By Organization: CT D05 - San Luis Obispo District Laboratory
Organization Address: 50 Higuera Street,
Organization City: San Luis Obispo
Organization State: CA
Organization Zipcode: 93401
Organization Email: glenn.johnson@dot.ca.gov
Organization Phone: (805) 549-3158
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 94.8 %
Cumulative percent passing the 3/8 in. sieve 80 %
Cumulative percent passing the #4 sieve 41.5 %
Cumulative percent passing the #8 sieve 23.6 %
Cumulative percent passing the #16 sieve 13.7 %
Cumulative percent passing the #30 sieve 8.4 %
Cumulative percent passing the #50 sieve 5.6 %
Cumulative percent passing the #100 sieve 3.9 %
Cumulative percent passing the #200 sieve 2.6 %

Test 2 of 7

DIME Test ID: 2020-06-29-20-2
Test Method: AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)
Verified Date: 07/02/2020
Date Tested: 06/30/2020
Submitted By Organization: CT D05 - San Luis Obispo District Laboratory
Organization Address: 50 Higuera Street,
Organization City: San Luis Obispo
Organization State: CA
Organization Zipcode: 93401
Organization Email: glenn.johnson@dot.ca.gov
Organization Phone: (805) 549-3158
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Method 2 - Individual Fracture Determination
Aggregate Size and Fracture Type Coarse 2 Faced and Fine 1 Faced
Weighted average percentage of fractured, coarse, 2 faced particles 98 %
Percentage of fractured, fine, 1 faced particles tested 97 %

Test 3 of 7

DIME Test ID: 2020-06-29-20-3
Test Method: AASHTO T96-02r10: Standard Method of Test for Resistance to Degradation of Small-Size Coarse Aggregate by Abrasion and Impact in the Los Angeles Machine (Los Angeles Rattler)
Verified Date: 07/02/2020
Date Tested: 07/01/2020
Submitted By Organization: CT D05 - San Luis Obispo District Laboratory
Organization Address: 50 Higuera Street,
Organization City: San Luis Obispo
Organization State: CA
Organization Zipcode: 93401
Organization Email: glenn.johnson@dot.ca.gov
Organization Phone: (805) 549-3158
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Grading designation C
Percent loss after 100 revolutions 7 %
Percent loss after 500 revolutions 33 %

Test 4 of 7

DIME Test ID: 2020-06-29-20-4
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: 07/02/2020
Date Tested: 07/01/2020
Submitted By Organization: CT D05 - San Luis Obispo District Laboratory
Organization Address: 50 Higuera Street,
Organization City: San Luis Obispo
Organization State: CA
Organization Zipcode: 93401
Organization Email: glenn.johnson@dot.ca.gov
Organization Phone: (805) 549-3158
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Sand Equivalent 73

Test 5 of 7

DIME Test ID: 2020-06-29-20-5
Test Method: ASTM D4791-10: Standard Test Method for Flat Particles, Elongated Particles, or Flat and Elongated Particles in Coarse Aggregate (Withdrawn 2019) (Flat and Elongated Particles)
Verified Date: 07/02/2020
Date Tested: 07/01/2020
Submitted By Organization: CT D05 - San Luis Obispo District Laboratory
Organization Address: 50 Higuera Street,
Organization City: San Luis Obispo
Organization State: CA
Organization Zipcode: 93401
Organization Email: glenn.johnson@dot.ca.gov
Organization Phone: (805) 549-3158
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Method B
Determination By Mass
Dimensional ratio used 5:1
Weighted percentage of particles (by mass) that were flat and elongated 0 %
Weighted percentage of particles (by mass) that were not flat and elongated 100 %

Test 6 of 7

DIME Test ID: 2020-06-29-20-6
Test Method: AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity)
Verified Date: 07/02/2020
Date Tested: 07/01/2020
Submitted By Organization: CT D05 - San Luis Obispo District Laboratory
Organization Address: 50 Higuera Street,
Organization City: San Luis Obispo
Organization State: CA
Organization Zipcode: 93401
Organization Email: glenn.johnson@dot.ca.gov
Organization Phone: (805) 549-3158
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Bulk specific gravity 2.515
Bulk specific gravity (SSD Basis) 2.587
Apparent specific gravity 2.710
Absorption 2.9 %

Test 7 of 7

DIME Test ID: 2020-06-29-20-7
Test Method: AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)
Verified Date: 07/02/2020
Date Tested: 07/01/2020
Submitted By Organization: CT D05 - San Luis Obispo District Laboratory
Organization Address: 50 Higuera Street,
Organization City: San Luis Obispo
Organization State: CA
Organization Zipcode: 93401
Organization Email: glenn.johnson@dot.ca.gov
Organization Phone: (805) 549-3158
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Basis for relative density testing Bulk
Specific Gravity 2.585
Absorption 1.8 %