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Sample Record for 2025-12-19-14

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

Project Information

Project ID: 1000762 DEA: 11430364 EFIS: 1118000109 QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-79-20.2/53.0
Work Description: CULVERT REPAIR, GUARDRAIL, FLASHING BEACON AND SIGN REPLACEMENTS.
Location Description: SAN DIEGO COUNTY AT VARIOUS LOCATIONS FROM WEST JUNCTION ROUTE 78 TO RIVERSIDE COUNTY LINE
Contractor Name: NATIONWIDE CONTRACTING SERVICES, INC. DBA NATIONWIDE GENERAL CONSTRUCTION SERVICES
Contractor Address: 7660 Liberty Drive, Huntington Beach, CA 92647
Resident Engineer: Ryan Sresovich Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2025-12-19-14
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: Per Request
Type of Material: Aggregate
Sample Taken Date: 12/19/2025
Date that the sample was received by the laboratory/organization performing the testing: 12/19/2025
The quantity of what the sample constitutes: 2 bags
A brief description of the sample: Plant Sample
From where was the sample collected: Job Site
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): 91-37-0036
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: 23417105 MM

Test Results

Test 1 of 2

DIME Test ID: 2025-12-19-14-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve 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.

Test 2 of 2

DIME Test ID: 2025-12-19-14-2
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.