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Sample Record for 2025-12-14-3

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

Project Information

Project ID: 995468 DEA: 114B0084 EFIS: 1122000208 QA Service Level: 1
DIST-CO-RTE-PM: 11---
Work Description:
Location Description:
Contractor Name: Rubbia Khan Griffith COmpany
Contractor Address: 3050 East Birch Street, Brea, CA, 92821
Resident Engineer: Alfredo Hernandez Medina Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2025-12-14-3
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: 12/14/2025
Date that the sample was received by the laboratory/organization performing the testing: 12/19/2025
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:
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 on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2025-12-14-3-1
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)
Verified Date: 01/06/2026
Date Tested: 01/02/2026
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
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Sand Equivalent 71

Test 2 of 2

DIME Test ID: 2025-12-14-3-2
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 01/06/2026
Date Tested: 12/30/2025
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
General Comments for this Test:
Test Result Compliance: complies
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 82 %
Cumulative percent passing the #4 sieve 62 %
Cumulative percent passing the #8 sieve 54 %
Cumulative percent passing the #16 sieve 39 %
Cumulative percent passing the #30 sieve 26 %
Cumulative percent passing the #50 sieve 14 %
Cumulative percent passing the #100 sieve 6 %
Cumulative percent passing the #200 sieve 3.5 %