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Sample Record for 2026-04-19-2

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

Project Information

Project ID: 1000703 DEA: 11430194 EFIS: 1118000001 QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-15-0.4/R10.2
Work Description: CULVERT RESTORATION, TUNNEL CO MONITORING SYSTEM, & ADA RAMP.
Location Description: SAN DIEGO COUNTY IN SAN DIEGO FROM 0.2 MILE SOUTH OF ROUTE 5/15 SEPARATION TO 0.4 MILE SOUTH OF ROUTE 52/15 SEPARATION.
Contractor Name: HAZARD CONSRUCTION ENGR, LLC
Contractor Address: 10529 Vine street, Lakeside CA, 92040
Resident Engineer: Genaro Genel-Trujillo Structure Rep.: Anh Ma

Sample Information

DIME Sample ID: 2026-04-19-2
TL Number from the TL Form:
Sample Submitted By Organization: Thompson Pipe Group - Los Angeles
Sample Organization Contact: (909) 201-5127
Type of Sample: Quality Control
Type of Material: Aggregate
Sample Taken Date: 04/19/2026
Date that the sample was received by the laboratory/organization performing the testing: 04/19/2026
The quantity of what the sample constitutes: 11 Bags
A brief description of the sample: 3/8"
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Cemex Lytle Creek

Material Information

Source Identification (SMARA, name of Pit or Job Site): 4419
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
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/8 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:
Test results on following page(s): 1

Test Results

Test

DIME Test ID: 2026-04-19-2-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 04/28/2026
Date Tested: 04/19/2026
Submitted By Organization: Thompson Pipe Group - Los Angeles
Organization Address: 3011 N. Laurel Ave,
Organization City: Rialto
Organization State: CA
Organization Zipcode: 92377
Organization Email: e.mcdonald@thompsonpipegroup.com
Organization Phone: (951) 446-9274
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
What type of gradation is being tested? 0.375 in x No. 8 - Coarse Aggregate
Cumulative percent passing the 1/2 in. sieve 100 %
Cumulative percent passing the 3/8 in. sieve 92 %
Cumulative percent passing the #4 sieve 13 %
Cumulative percent passing the #8 sieve 3 %
Cumulative percent passing the #16 sieve 3.1 %