Sample Record for 2025-08-19-66
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 994574 DEA: 050C7334 EFIS: 0518000116
QA Service Level: 1
DIST-CO-RTE-PM: 05-SCR-1-10.5/13.4
Work Description: CONSTRUCT OVERCROSSING AND AUXILIARY LANE/ Replace Capitola Ave OC + RWs and SWs
Location Description: SANTA CRUZ COUNTY IN AND NEAR CITY OF CAPITOLA FROM STATE PARK DRIVE OVERCROSSING TO 0.2 MILE NORTH OF BAY AVENUE UNDERCROSSING
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 580 West Beach Street, Watsonville, CA 95076
Resident Engineer: Fernando Dos Santos Structure Rep.: Daniel Dait
Sample Information
DIME Sample ID: 2025-08-19-66
TL Number from the TL Form:
Sample Submitted By Organization: Construction Testing Services
Sample Organization Contact: (925) 351-6905
Type of Sample: Quality Control
Type of Material: Aggregate
Sample Taken Date: 08/19/2025
Date that the sample was received by the laboratory/organization performing the testing: 08/20/2025
The quantity of what the sample constitutes: 1 bag
A brief description of the sample: 1" x #4 Aggregate
From where was the sample collected: Fabricator
Laboratory sample identification: 296291
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Las Animas
Material Information
Source Identification (SMARA, name of Pit or Job Site): Granite Wilson Quarry
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: Las Animas Santa Cruz Batch Plant
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 1 inch
The concrete mix design number: C2S30
Lot number:
Sublot number:
Aggregate Mix Number:
Test Results
