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Sample Record for 2025-02-01-1

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Project Information

Project ID: 994582 DEA: 073203U4 EFIS: 0722000071 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-91,605-R16.6/R16.8,R0.0/R10.4
Work Description: PLACE CONCRETE PAVEMENT AND HIGH FRICTION SURFACE TREATMENT.
Location Description: LOS ANGELES COUNTY ON ROUTE 605 FROM 0.2 MILE NORTH OF KATELLA AVENUE UNDECROSSING TO 0.1 MILE NORTH OF TELEGRAPH ROAD UNDERCROSSING AND ON ROUTE 91 FROM 0.4 MILE WEST OF ROUTE 605 UNDERCROSSING TO 0.2 MILE WEST OF ROUTE 605 UNDERCROSSING
Contractor Name: RASMUSSEN/VANGUARD
Contractor Address: 28548 LIVINGSTON AVENUE, VALENCIA CA 91335
Resident Engineer: Martin Oregel Structure Rep.: Tien Chu

Sample Information

DIME Sample ID: 2025-02-01-1
TL Number from the TL Form: C 003451
Sample Submitted By Organization: CT D07 - Plant Services
Sample Organization Contact: 562-345-3126
Type of Sample: Acceptance
Type of Material: Aggregate
Sample Taken Date: 02/01/2025
Date that the sample was received by the laboratory/organization performing the testing: 02/01/2025
The quantity of what the sample constitutes: 450 CY
A brief description of the sample: 1 x No. 4 PCC Aggregate
From where was the sample collected: Manufacturer
Laboratory sample identification: 006A
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vanguard Mobile Plant-Norwalk

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-19-0035
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: Mobile Plant Stockpile
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 1 inch
The concrete mix design number: HE4X4BM
Lot number:
Sublot number:
Aggregate Mix Number:
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2025-02-01-1-1
Test Method: ASTM C136-19: Standard Test Method for Sieve Analysis of Fine and Coarse Aggregates
Verified Date: 03/25/2025
Date Tested: 02/03/2025
Submitted By Organization: CT D07 - Plant Services
Organization Address: 13230 East Firestone Boulevard, Suite G,
Organization City: Santa Fe Springs
Organization State: CA
Organization Zipcode: 90670
Organization Email: victor.zengler@dot.ca.gov
Organization Phone: (562) 345-3126
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
What type of gradation is being tested? 1 in. x No. 4 - Coarse Aggregate
Cumulative percent passing the 1 1/2 in. sieve 100 %
Cumulative percent passing the 1 in. sieve 98 %
Cumulative percent passing the 3/4 in. sieve 85 %
Cumulative percent passing the 1/2 in. sieve 54 %
Cumulative percent passing the 3/8 in. sieve 30 %
Cumulative percent passing the #4 sieve 3 %
Cumulative percent passing the #8 sieve 2 %