Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1002671 DEA: 09402704 EFIS: 0924000060
QA Service Level: 1
DIST-CO-RTE-PM: 09-MNO--unknown
Work Description:
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown
DIME Sample ID: 2026-09-30-25
TL Number from the TL Form:
Sample Submitted By Organization: CT D09 - Bishop Field Laboratory
Sample Organization Contact: (760) 872-5211
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 09/30/2026
Date that the sample was received by the laboratory/organization performing the testing: 10/05/2026
The quantity of what the sample constitutes: Daily Production
A brief description of the sample: sand ''Micro-Seal"
From where was the sample collected: Job Site
Laboratory sample identification: S-3
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: HoneyWell, Nevada
Source Identification (SMARA, name of Pit or Job Site): Jobsite
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 @ Yard
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:
DIME Test ID: 2026-09-30-25-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 10/08/2026
Date Tested: 10/08/2026
Submitted By Organization: CT D09 - Bishop Field Laboratory
Organization Address: 500 South Main Street,
Organization City: Bishop
Organization State: CA
Organization Zipcode: 93514
Organization Email: chris.talbot@dot.ca.gov
Organization Phone: (760) 872-0794
General Comments for this Test: Sand 3
Test Result Compliance: complies
Additional Comments When Verified:
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What type of gradation is being tested?
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Fine Aggregate
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Total mass of sample tested
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628 grams
|
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Cumulative percent passing the 3/8 in. sieve
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100 %
|
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Cumulative percent passing the #4 sieve
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93 %
|
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Cumulative percent passing the #8 sieve
|
68 %
|
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Cumulative percent passing the #16 sieve
|
45 %
|
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Cumulative percent passing the #30 sieve
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30 %
|
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Cumulative percent passing the #50 sieve
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19 %
|
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Cumulative percent passing the #100 sieve
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13 %
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Cumulative percent passing the #200 sieve
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8.8 %
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