Sample Record for 2017-05-07-1
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 211709 DEA: 051C8704 EFIS: 0513000005
QA Service Level: 1
DIST-CO-RTE-PM: 05-SBT-156-0.0/3.0
Work Description: RESURFACE PAVEMENT WITH RHMA-G AND INSTALL MIDWEST GUARDRAIL SYSTEM.
Location Description: SAN BENITO COUNTY IN AND NEAR SAN JUAN BAUTISTA FROM ROUTE 156/101 SEPARATION TO THE ALAMEDA
Contractor Name: GRANITE ROCK COMPANY
Contractor Address: 120 Granite Rock, San Jose, CA 95136
Resident Engineer: Katie Beach Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2017-05-07-1
TL Number from the TL Form: C761754
Sample Submitted By Organization: CT HQ - Sacramento Aggregate Testing Laboratory
Sample Organization Contact: (915) 296-1892
Type of Sample: Quality Control
Type of Material: Aggregate
Sample Taken Date: 05/07/2017
Date that the sample was received by the laboratory/organization performing the testing: 06/30/2017
The quantity of what the sample constitutes: 1 bag
A brief description of the sample: 3/4 inch combined agg
From where was the sample collected: Fabricator
Laboratory sample identification: 17CPCC-0217
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Graniterock Aromas Drum Plant
Material Information
Source Identification (SMARA, name of Pit or Job Site): 91-35-0012::A.R. WILSON QUARRY
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: Mix Plant
Where the material sample would have been placed if not sampled: Unknown
Primary Aggregate Nominal Size: 1 inch
The concrete mix design number: Unknown
Lot number:
Sublot number:
Aggregate Mix Number:
Test Results
Test 1 of 1
DIME Test ID: 2017-05-07-1-1
Test Method: AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity)
Verified Date: 07/20/2017
Date Tested: 07/20/2017
Submitted By Organization: CT HQ - Sacramento Aggregate Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: ryan.kester@dot.ca.gov
Organization Phone: (916) 227-7215
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
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Bulk specific gravity
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2.712
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Bulk specific gravity (SSD Basis)
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2.754
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Apparent specific gravity
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2.832
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Absorption
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1.563 %
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