Sample Record for 2026-05-28-25
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1001197 DEA: 07319604 EFIS: 0716000025
QA Service Level: 1
DIST-CO-RTE-PM: 07-VEN-1,101-21.3/21.9,R34.9/R36.1
Work Description: REMOVE AND CONSTRUCT BRIDGE.
Location Description: VENTURA COUNTY ON ROUTE 1 FROM 1.8 MILES NORTH OF ROUTE 1/33 SEPARATION TO 2.0 MILES SOUTH OF A LEASE CANYON ROAD AND ON ROUTE 101 FROM 0.4 MILE NORTH OF DULAH ROAD UNDERCROSSING TO SAN MIGUELITO ROAD UNDERCROSSING
Contractor Name: BEADOR CONSTRUCTION COMPANY, INC.
Contractor Address: 2900 BRISTOL STREET, SUITE D204, COSTA MESA, CA 92626
Resident Engineer: Ranjit Singh Structure Rep.: Aziz Maghsoudloo
Sample Information
DIME Sample ID: 2026-05-28-25
TL Number from the TL Form:
Sample Submitted By Organization: BSK Associates
Sample Organization Contact: (925) 765-9483
Type of Sample: Quality Control
Type of Material: Aggregate
Sample Taken Date: 05/28/2026
Date that the sample was received by the laboratory/organization performing the testing: 05/28/2026
The quantity of what the sample constitutes: 1 Bulk Bag
A brief description of the sample: Washed Concrete Sand
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Pinnacle Prestress, Inc.
Material Information
Source Identification (SMARA, name of Pit or Job Site): 91-15-0041
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: Job Site
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: fine
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:
Test Results
Test
DIME Test ID: 2026-05-28-25-1
Test Method: ASTM D2419-14: Standard Test Method for Sand Equivalent Value of Soils and Fine Aggregate
Submitted By Organization: BSK Associates
Organization Address: 399 Lindbergh Avenue,
Organization City: Livermore
Organization State: CA
Organization Zipcode: 94551
Organization Email: cmelo@bskassociates.com
Organization Phone: (925) 765-9483
Data has not been verified.
