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Sample Record for 2025-10-10-26

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 1001028 DEA: 07317804 EFIS: 0715000274 COOP: 075065 QA Service Level: 2
DIST-CO-RTE-PM: 07-VEN-34-6.3
Work Description: Construct grade separation structure and connector ramps
Location Description: SR34 and Rice Avenue, Oxnard
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Azizollah Maghsoudloo

Sample Information

DIME Sample ID: 2025-10-10-26
TL Number from the TL Form:
Sample Submitted By Organization: Con-Fab California, LLC
Sample Organization Contact: (661) 630-7162
Type of Sample: Quality Control
Type of Material: Aggregate
Sample Taken Date: 10/10/2025
Date that the sample was received by the laboratory/organization performing the testing: 10/10/2025
The quantity of what the sample constitutes: 1 Bucket of 1/2", 1 Bucket of 3/8", 1 Bucket of Sand
A brief description of the sample: 1 Bucket of 1/2", 1 Bucket of 3/8", & 1 Bucket of Sand
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name: Rice Avenue OH
The fabricator/manufacturer/facility name: Con-Fab California, LLC - Shafter

Material Information

Source Identification (SMARA, name of Pit or Job Site): Con-Fab California, LLC Shafter
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: Stockpile @ Plant
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 1/2 inch
The concrete mix design number: SCC-S8.5-0FG
Lot number:
Sublot number:
Aggregate Mix Number:

Test Results

Test 1 of 4

DIME Test ID: 2025-10-10-26-1
Test Method: ASTM C136-19: Standard Test Method for Sieve Analysis of Fine and Coarse Aggregates
Verified Date: 10/15/2025
Date Tested: 10/10/2025
Submitted By Organization: Con-Fab California, LLC
Organization Address: 701 Golds Avenue,
Organization City: Shafter
Organization State: CA
Organization Zipcode: 93263
Organization Email: benjamina@confabca.com
Organization Phone: (661) 630-3283
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
What type of gradation is being tested? Combined Gradation
Cumulative percent passing the 2 in. sieve 100 %
Cumulative percent passing the 1 1/2 in. sieve 100 %
Cumulative percent passing the 1 in. sieve 100 %
Cumulative percent passing the 3/4 in. sieve 100 %
Cumulative percent passing the 1/2 in. sieve 95 %
Cumulative percent passing the 3/8 in. sieve 74.4 %
Cumulative percent passing the #4 sieve 52.3 %
Cumulative percent passing the #8 sieve 42.9 %
Cumulative percent passing the #16 sieve 34.4 %
Cumulative percent passing the #30 sieve 21.6 %
Cumulative percent passing the #50 sieve 8 %
Cumulative percent passing the #100 sieve 3.3 %
Cumulative percent passing the #200 sieve 0.1 %

Test 2 of 4

DIME Test ID: 2025-10-10-26-2
Test Method: ASTM D2419-14: Standard Test Method for Sand Equivalent Value of Soils and Fine Aggregate
Verified Date: 10/15/2025
Date Tested: 10/10/2025
Submitted By Organization: Con-Fab California, LLC
Organization Address: 701 Golds Avenue,
Organization City: Shafter
Organization State: CA
Organization Zipcode: 93263
Organization Email: benjamina@confabca.com
Organization Phone: (661) 630-3283
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sand Equivalent 81

Test 3 of 4

DIME Test ID: 2025-10-10-26-3
Test Method: ASTM C117-17: Standard Test Method for Materials Finer than 75-μm (No. 200) Sieve in Mineral Aggregates by Washing
Verified Date: 10/15/2025
Date Tested: 10/10/2025
Submitted By Organization: Con-Fab California, LLC
Organization Address: 701 Golds Avenue,
Organization City: Shafter
Organization State: CA
Organization Zipcode: 93263
Organization Email: benjamina@confabca.com
Organization Phone: (661) 630-3283
General Comments for this Test: Sand 1.1%, 3/8" rock 1.1%, 1/2" rock 0.9%
Test Result Compliance:
Additional Comments When Verified:
Percent finer than No. 200 sieve 1.1 %

Test 4 of 4

DIME Test ID: 2025-10-10-26-4
Test Method: ASTM C566-19: Standard Test Method for Total Evaporable Moisture Content of Aggregate by Drying
Verified Date: 10/15/2025
Date Tested: 10/10/2025
Submitted By Organization: Con-Fab California, LLC
Organization Address: 701 Golds Avenue,
Organization City: Shafter
Organization State: CA
Organization Zipcode: 93263
Organization Email: benjamina@confabca.com
Organization Phone: (661) 630-3283
General Comments for this Test: Sand 7.3%, 3/8" rock 2.4%, 1/2" rock 2.2%
Test Result Compliance:
Additional Comments When Verified:
Total evaporable moisture content 7.3 %