Sample Record for 2025-11-04-52
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1001127 DEA: 112N2064 EFIS: 1123000285
QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-94-1.6/R13.3
Work Description: POLYESTER CONCRETE, METHACRYLATE, JOINT SEALS AND APPROACH SLABS.
Location Description: SAN DIEGO COUNTY AT VARIOUS LOCATIONS FROM 22ND STREET OVERCROSSING TO AVOCADO BOULEVARD OVERCROSSING
Contractor Name: TRUESDELL CORPORATION OF CALIFORNIA, INC.
Contractor Address: Unknown, 1310 west 23 st Tempe Arixzona 85282
Resident Engineer: fahad masud Structure Rep.: Tyler Jones
Sample Information
DIME Sample ID: 2025-11-04-52
TL Number from the TL Form:
Sample Submitted By Organization: CT D11 - District 11 Materials Laboratory
Sample Organization Contact: (858) 518-8709
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 11/04/2025
Date that the sample was received by the laboratory/organization performing the testing: 11/05/2025
The quantity of what the sample constitutes: 1 bag
A brief description of the sample: Plant Sample
From where was the sample collected: Supplier
Laboratory sample identification: 25-11-03-54-PSU
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Martin Marietta
Material Information
Source Identification (SMARA, name of Pit or Job Site): Not Provided
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
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: 21217105 MM
Test Results
Test 1 of 2
DIME Test ID: 2025-11-04-52-2
Test Method: AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent)
Submitted By Organization: CT D11 - District 11 Materials Laboratory
Organization Address: 4050 Taylor Street,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92110
Organization Email: benjamin.haney@dot.ca.gov
Organization Phone: (858) 688-1595
Data has not been verified.
Test 2 of 2
DIME Test ID: 2025-11-04-52-3
Test Method: AASHTO T30-25: Standard Method of Test for Mechanical Analysis of Extracted Aggregate (Mechanical Analysis)
Submitted By Organization: CT D11 - District 11 Materials Laboratory
Organization Address: 4050 Taylor Street,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92110
Organization Email: benjamin.haney@dot.ca.gov
Organization Phone: (858) 688-1595
Data has not been verified.
