Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000078 DEA: 051P2804 EFIS: 0522000016
QA Service Level: 1
DIST-CO-RTE-PM: 05-SCR,-1-17.02/17.02
Work Description: REPLACE SEPARATION BRIDGE GIRDER.
Location Description: SANTA CRUZ COUNTY IN SANTA CRUZ AT ROUTE 1 NORTHBOUND/17 SEPARATION
Contractor Name: BEADOR CONSTRUCTION COMPANY, INC.
Contractor Address: 2900 Bristol Street, Suite D204, Costa Mesa, CA 92626
Resident Engineer: Ian Nguyen Structure Rep.: Stephen Pozzo
DIME Sample ID: 2024-09-26-48
TL Number from the TL Form:
Sample Submitted By Organization: Con-Fab California, LLC
Sample Organization Contact: (661) 630-7162
Type of Sample: Quality Control
Type of Material: Aggregate
Sample Taken Date: 09/26/2024
Date that the sample was received by the laboratory/organization performing the testing: 09/26/2024
The quantity of what the sample constitutes: 1 Bucket of 1/2", 1 Bucket of 3/8", & 1 Bucket of Sand
A brief description of the sample: 1 Bucket of 1/2", 1 Bucket of 3/8", & 1 Bucket of Sand
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Con-Fab California, LLC - Shafter
Source Identification (SMARA, name of Pit or Job Site): Con-Fab California, LLC Shafter
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: Stockpile @ Plant
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 1/2 inch
The concrete mix design number: SCC-S8.5-0FG
Lot number:
Sublot number:
Aggregate Mix Number:
DIME Test ID: 2024-09-26-48-1
Test Method: ASTM C136-19: Standard Test Method for Sieve Analysis of Fine and Coarse Aggregates
Verified Date: 09/30/2024
Date Tested: 09/26/2024
Submitted By Organization: Con-Fab California, LLC
Organization Address: 701 Golds Avenue,
Organization City: Shafter
Organization State: CA
Organization Zipcode: 93263
Organization Email: benjamina@confabca.com
Organization Phone: (661) 630-3283
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
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What type of gradation is being tested?
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Combined Gradation
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Cumulative percent passing the 2 in. sieve
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100 %
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Cumulative percent passing the 1 1/2 in. sieve
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100 %
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Cumulative percent passing the 1 in. sieve
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100 %
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Cumulative percent passing the 3/4 in. sieve
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100 %
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Cumulative percent passing the 1/2 in. sieve
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97.4 %
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Cumulative percent passing the 3/8 in. sieve
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76.9 %
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Cumulative percent passing the #4 sieve
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53 %
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Cumulative percent passing the #8 sieve
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43.5 %
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Cumulative percent passing the #16 sieve
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33.1 %
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Cumulative percent passing the #30 sieve
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20.3 %
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Cumulative percent passing the #50 sieve
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8.5 %
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Cumulative percent passing the #100 sieve
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1.9 %
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Cumulative percent passing the #200 sieve
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0.4 %
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DIME Test ID: 2024-09-26-48-2
Test Method: ASTM D2419-14: Standard Test Method for Sand Equivalent Value of Soils and Fine Aggregate
Verified Date: 09/30/2024
Date Tested: 09/26/2024
Submitted By Organization: Con-Fab California, LLC
Organization Address: 701 Golds Avenue,
Organization City: Shafter
Organization State: CA
Organization Zipcode: 93263
Organization Email: benjamina@confabca.com
Organization Phone: (661) 630-3283
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
DIME Test ID: 2024-09-26-48-3
Test Method: ASTM C117-17: Standard Test Method for Materials Finer than 75-μm (No. 200) Sieve in Mineral Aggregates by Washing
Verified Date: 09/30/2024
Date Tested: 09/26/2024
Submitted By Organization: Con-Fab California, LLC
Organization Address: 701 Golds Avenue,
Organization City: Shafter
Organization State: CA
Organization Zipcode: 93263
Organization Email: benjamina@confabca.com
Organization Phone: (661) 630-3283
General Comments for this Test: Sand 1.4%, 3/8" Rock .8%, 1/2" Rock 1.1%
Test Result Compliance:
Additional Comments When Verified:
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Percent finer than No. 200 sieve
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1.4 %
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DIME Test ID: 2024-09-26-48-4
Test Method: ASTM C566-19: Standard Test Method for Total Evaporable Moisture Content of Aggregate by Drying
Verified Date: 09/30/2024
Date Tested: 09/26/2024
Submitted By Organization: Con-Fab California, LLC
Organization Address: 701 Golds Avenue,
Organization City: Shafter
Organization State: CA
Organization Zipcode: 93263
Organization Email: benjamina@confabca.com
Organization Phone: (661) 630-3283
General Comments for this Test: Sand 8%, 3/8" Rock 2.6%, 1/2" Rock 2.0%
Test Result Compliance:
Additional Comments When Verified:
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Total evaporable moisture content
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8 %
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