Sample Record for 2025-05-19-120
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 994662 DEA: 043Y5504 EFIS: 0423000260
QA Service Level: 1
DIST-CO-RTE-PM: 04-ALA,ALA-580-4.7/4.8
Work Description: RETAINING WALL OVERTURNING FAILURE
Location Description:
Contractor Name: Viking Construction Company
Contractor Address: P O BOX 1508, RANCHO CORDOVE, CA 95742-1508
Resident Engineer: Paramjit Pandher Structure Rep.: John K. Parecadan
Sample Information
DIME Sample ID: 2025-05-19-120
TL Number from the TL Form: CPL051925
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: 05/19/2025
Date that the sample was received by the laboratory/organization performing the testing: 05/27/2025
The quantity of what the sample constitutes: 4 Bags Combined Agg
A brief description of the sample: 1/2"HMA-O (OGFC)
From where was the sample collected: Manufacturer
Laboratory sample identification: D04-SE-25-025
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Teichert Materials Vernalis
Material Information
Source Identification (SMARA, name of Pit or Job Site): 91-39-0041
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: Plant Sampler
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 1/2 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number: 30240442609V
Test Results
Test 1 of 3
DIME Test ID: 2025-05-19-120-1
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 3
DIME Test ID: 2025-05-19-120-2
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 3
DIME Test ID: 2025-05-19-120-3
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.
