Sample Record for 2024-09-27-61
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 994469 DEA: 044J89U4 EFIS: 0419000140 COOP: 042806
QA Service Level: 1
DIST-CO-RTE-PM: 04-SCL-82-18.2/26.4
Work Description: COLD PLANE AC, RHMA, SLAB REPL, CURB RAMPS, AND MOD ELECT SYSTEMS.
Location Description: SANTA CLARA COUNTY AT VARIOUS LOCATIONS FROM KNICKERBOCKER DRIVE IN SUNNYVALE TO SAN MATEO COUNTY LINE IN PALO ALTO
Contractor Name: O.C. JONES & SONS, INC.
Contractor Address: 1520 Fourth Street, Berkeley CA 94710
Resident Engineer: Arif Khan Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2024-09-27-61
TL Number from the TL Form: C317-092724-2
Sample Submitted By Organization: CT D04 - San Jose Construction Field Laboratory
Sample Organization Contact: (510) 385-8171
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 09/27/2024
Date that the sample was received by the laboratory/organization performing the testing: 09/30/2024
The quantity of what the sample constitutes: 1 bag
A brief description of the sample: 3/4" RHMA-G WMA
From where was the sample collected: Source
Laboratory sample identification: SJ-092724-SA2
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: DeSilva Gates Aggregates Sunol
Material Information
Source Identification (SMARA, name of Pit or Job Site): 91-01-0007
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: Conveyer Belt
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number: 6654
Lot number: 2
Sublot number: 6
Aggregate Mix Number:
Test Results
Test 1 of 2
DIME Test ID: 2024-09-27-61-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Submitted By Organization: CT D04 - San Jose Construction Field Laboratory
Organization Address: 1007 Knox Avenue,
Organization City: San Jose
Organization State: CA
Organization Zipcode: 95122
Organization Email: fernando.vega@dot.ca.gov
Organization Phone: (510) 385-8171
Data has not been verified.
Test 2 of 2
DIME Test ID: 2024-09-27-61-2
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: 10/31/2024
Date Tested: 09/30/2024
Submitted By Organization: CT D04 - San Jose Construction Field Laboratory
Organization Address: 1007 Knox Avenue,
Organization City: San Jose
Organization State: CA
Organization Zipcode: 95122
Organization Email: fernando.vega@dot.ca.gov
Organization Phone: (510) 385-8171
General Comments for this Test: DeSilva Gates Aggregates Sunol Drum Plant
Test Result Compliance: complies
Additional Comments When Verified:
