Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 99999 DEA: 0322222
QA Service Level:
DIST-CO-RTE-PM: 03-SAC,OMG-888,99,80-0.6-0.6
Work Description: THIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Location Description: THIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Michael Maksimovich Structure Rep.: Unknown
DIME Sample ID: 2025-06-17-108
TL Number from the TL Form:
Sample Submitted By Organization: UC Pavement Research Center - Davis
Sample Organization Contact: (530) 304-8941
Type of Sample: Quality Control
Type of Material: Aggregate
Sample Taken Date: 06/17/2025
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes:
A brief description of the sample: 4.100-Ph3-Mix06-AdvWet-6.25%-V2-Ext-Agg_2025-06-17
From where was the sample collected:
Laboratory sample identification: 4.100-Ph3-Mix06-AdvWet-6.25%-V2-Ext-Agg_2025-06-17
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name:
Source Identification (SMARA, name of Pit or Job Site): 91-15-0013
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: from extraction
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number:
Lot number: 1
Sublot number: 5
Aggregate Mix Number:
DIME Test ID: 2025-06-17-108-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Submitted By Organization: UC Pavement Research Center - Davis
Organization Address: 2001 Ghausi Hall,
Organization City: Davis
Organization State: CA
Organization Zipcode: 95616
Organization Email: jbuscheck@ucdavis.edu
Organization Phone: (530) 304-8941
Data has not been verified.
