Sample Record for 2025-05-01-103
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1000602 DEA: 040K6404 EFIS: 0416000112
QA Service Level: 1
DIST-CO-RTE-PM: 04-SOL-80-15.9/30.2
Work Description: COLD PLANE, OVERLAY, MGS, RAMP METERING, LIGHTING AND SIGNAL.
Location Description: SOLANO COUNTY ON ROUTE 80 IN AND NEAR FAIRFIELD AND VACAVILLE AT VARIOUS LOCATIONS FROM 1.5 MILES EAST OF SUISUN VALLEY ROAD OVERCROSSING TO 0.8 MILE EAST OF LEISURE TOWN ROAD OVERCROSSING.
Contractor Name: O.C. JONES & SONS, INC.
Contractor Address: Unknown
Resident Engineer: Justen Tatum Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2025-05-01-103
TL Number from the TL Form: CON-050125-1
Sample Submitted By Organization: BSK Associates
Sample Organization Contact: (925) 765-9483
Type of Sample: Production Start-Up
Type of Material: Aggregate
Sample Taken Date: 05/01/2025
Date that the sample was received by the laboratory/organization performing the testing: 05/08/2025
The quantity of what the sample constitutes: 2 Bags per bin#1-4
A brief description of the sample: 1/2"HMA-SP-R15-WMA
From where was the sample collected: Manufacturer
Laboratory sample identification: D04-SE-25-018
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Teichert Woodland
Material Information
Source Identification (SMARA, name of Pit or Job Site): 91-57-0004
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: At the plant
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: 1
Aggregate Mix Number: 30640432428P
Test Results
Test 1 of 4
DIME Test ID: 2025-05-01-103-1
Test Method: AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)
Submitted By Organization: BSK Associates
Organization Address: 399 Lindbergh Avenue,
Organization City: Livermore
Organization State: CA
Organization Zipcode: 94551
Organization Email: cmelo@bskassociates.com
Organization Phone: (925) 765-9483
Data has not been verified.
Test 2 of 4
DIME Test ID: 2025-05-01-103-2
Test Method: AASHTO T96-02r10: Standard Method of Test for Resistance to Degradation of Small-Size Coarse Aggregate by Abrasion and Impact in the Los Angeles Machine (Los Angeles Rattler)
Submitted By Organization: BSK Associates
Organization Address: 399 Lindbergh Avenue,
Organization City: Livermore
Organization State: CA
Organization Zipcode: 94551
Organization Email: cmelo@bskassociates.com
Organization Phone: (925) 765-9483
Data has not been verified.
Test 3 of 4
DIME Test ID: 2025-05-01-103-3
Test Method: AASHTO T304-11: Standard Method of Test for Uncompacted Void Content of Fine Aggregate (Fine of Crushed Particles)
Submitted By Organization: BSK Associates
Organization Address: 399 Lindbergh Avenue,
Organization City: Livermore
Organization State: CA
Organization Zipcode: 94551
Organization Email: cmelo@bskassociates.com
Organization Phone: (925) 765-9483
Data has not been verified.
Test 4 of 4
DIME Test ID: 2025-05-01-103-4
Test Method: ASTM D4791-10: Standard Test Method for Flat Particles, Elongated Particles, or Flat and Elongated Particles in Coarse Aggregate (Withdrawn 2019) (Flat and Elongated Particles)
Submitted By Organization: BSK Associates
Organization Address: 399 Lindbergh Avenue,
Organization City: Livermore
Organization State: CA
Organization Zipcode: 94551
Organization Email: cmelo@bskassociates.com
Organization Phone: (925) 765-9483
Data has not been verified.
