Sample Record for 2026-08-05-84
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1001369 DEA: 010K1504 EFIS: 0120000035
QA Service Level: 1
DIST-CO-RTE-PM: 01-HUM-101-125.2/R126.1
Work Description: EARTHWORK, HMA-A, DRAINAGE, AND HIGH FRICTION SURFACE TREATMENT.
Location Description: HUMBOLDT COUNTY NEAR ORICK FROM 0.9 MILE SOUTH TO SOUTH PRAIRIE CREEK PARK UNDERCROSSING
Contractor Name: G R SUNDBERG INC
Contractor Address: 5211 Boyd Road, Arcata, CA 95521
Resident Engineer: Ryan Dunne Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2026-08-05-84
TL Number from the TL Form:
Sample Submitted By Organization: CT D01 - Crescent City Field Laboratory
Sample Organization Contact: (707) 496-5581
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 08/05/2026
Date that the sample was received by the laboratory/organization performing the testing: 08/10/2026
The quantity of what the sample constitutes: 2 ags
A brief description of the sample: cold feed
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Kernen
Material Information
Source Identification (SMARA, name of Pit or Job Site): kernen
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: discharge from belt before dryer
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
Test
DIME Test ID: 2026-08-05-84-1
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: 09/04/2026
Date Tested: 09/04/2026
Submitted By Organization: CT D01 - Crescent City Field Laboratory
Organization Address: 1444 Parkway Dr.,
Organization City: Crescent City
Organization State: CA
Organization Zipcode: 95531
Organization Email: clayton.malmberg@dot.ca.gov
Organization Phone: (707) 496-5581
General Comments for this Test:
Test Result Compliance: does not comply
Additional Comments When Verified:
