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Sample Record for 2024-09-11-66

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

Project Information

Project ID: 995286 DEA: 042Q5704 EFIS: 0419000026 QA Service Level: 1
DIST-CO-RTE-PM: 04-SCL-101,680-Var
Work Description: REPLACE STORMWATER PUMPS AND CONSTRUCT DRAINAGE BOXES.
Location Description: SANTA CLARA COUNTY IN AND NEAR MORGAN HILL AND SAN JOSE AT VARIOUS LOCATIONS
Contractor Name: DISNEY CONSTRUCTION, INC.
Contractor Address: 533 airport Blvd, Suite 120, Burlingame, CA 94010
Resident Engineer: Nim Patel Structure Rep.: Steve Gong

Sample Information

DIME Sample ID: 2024-09-11-66
TL Number from the TL Form:
Sample Submitted By Organization: Structure Cast
Sample Organization Contact: (661) 301-2624
Type of Sample: Quality Control
Type of Material: Aggregate
Sample Taken Date: 09/11/2024
Date that the sample was received by the laboratory/organization performing the testing: 09/11/2024
The quantity of what the sample constitutes: 45 yd
A brief description of the sample: 4x8 concrete cylinders
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: StructureCast

Material Information

Source Identification (SMARA, name of Pit or Job Site): Vulcan San Emidio
The fabricator's/manufacturer's product name for the sample: Washed Concrete Sand
The fabricator/manufacturer designation for the sample:
The plant number:
A detailed description of where the material sample was collected: Aggregate Storage
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/8 inch
The concrete mix design number: 8.5SCC
Lot number:
Sublot number:
Aggregate Mix Number:
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2024-09-11-66-1
Test Method: ASTM C136-19: Standard Test Method for Sieve Analysis of Fine and Coarse Aggregates
Verified Date: 09/28/2024
Date Tested: 09/11/2024
Submitted By Organization: Structure Cast
Organization Address: 8261 McCutchen Road ,
Organization City: Bakersfield
Organization State: CA
Organization Zipcode: 93311
Organization Email: brent@structurecast.com
Organization Phone: (661) 717-5464
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
What type of gradation is being tested? 0.375 in x No. 8 - Coarse Aggregate
Cumulative percent passing the 1/2 in. sieve 100 %
Cumulative percent passing the 3/8 in. sieve 82 %
Cumulative percent passing the #4 sieve 11 %
Cumulative percent passing the #8 sieve 2 %