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Sample Record for 2026-06-25-67

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

Project Information

Project ID: 1001194 DEA: 051H4404 EFIS: 0516000074 QA Service Level: 1
DIST-CO-RTE-PM: 05-SB,SLO-1-50.3/50.6,0.0/0.3
Work Description: SANTA MARIA RIVER BRIDGE (REPLACE).
Location Description: SANTA BARBARA AND SAN LUIS OBISPO COUNTIES IN AND NEAR GUADALUPE AT SANTA MARIA RIVER BRIDGE
Contractor Name: M.C.M. CONSTRUCTION, INC.
Contractor Address: 6413 32nd Street, North Highlands, Ca 95660
Resident Engineer: Jacob Cooper Structure Rep.: Sal Heredia

Sample Information

DIME Sample ID: 2026-06-25-67
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: 06/25/2026
Date that the sample was received by the laboratory/organization performing the testing: 06/25/2026
The quantity of what the sample constitutes: 1 bulk bag
A brief description of the sample: 1/2" Aggregates
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): 91-54-0021
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: Jobsite.
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:
Test results on following page(s): 1

Test Results

Test

DIME Test ID: 2026-06-25-67-1
Test Method: ASTM C117-17: Standard Test Method for Materials Finer than 75-μm (No. 200) Sieve in Mineral Aggregates by Washing
Verified Date: 07/01/2026
Date Tested: 06/27/2026
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
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Percent finer than No. 200 sieve 1.2 %