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Sample Record for 2019-02-01-8

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

Project Information

Project ID: 9999 DEA: 00000000 EFIS: 0000000000 COOP: 99999333399 MINOR: 333333 Permit Numbers: 555555 0400NRT0000 QA Service Level: 1
DIST-CO-RTE-PM: 03-SAC,OMG-888,99,80-0.6-0.6
Work Description: THIS PROJECT RECORD WAS ADDED FOR DIME DEVELOPERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Location Description: THIS PROJECT RECORD WAS ADDED FOR DIME DEVELOPERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Contractor Name: YYZ
Contractor Address: 1234 address, Sacramento, CA 95824
Resident Engineer: RE_first RE_last Structure Rep.: SR_First SR_Last

Sample Information

DIME Sample ID: 2019-02-01-8
TL Number from the TL Form:
Sample Submitted By Organization: Thinh Org
Sample Organization Contact: (111) 998-9858
Type of Sample: Quality Control
Type of Material: Aggregate
Sample Taken Date: 02/01/2019
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 1
A brief description of the sample: 1
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: 1

Material Information

Source Identification (SMARA, name of Pit or Job Site): 111
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: 11
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number:
Lot number: 2
Sublot number: 2
Aggregate Mix Number:
Test results on following page(s): 5

Test Results

Test 1 of 5

DIME Test ID: 2019-02-01-8-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 02/13/2019
Date Tested: 02/01/2019
Submitted By Organization: Thinh Org
Organization Address: 1111 S Street,
Organization City: Folsom
Organization State: CA
Organization Zipcode: 99999
Organization Email: ttt@ttt.com
Organization Phone: (111) 998-9858
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
What type of gradation is being tested? Combined Gradation
Cumulative percent passing the 2 in. sieve 100 %
Cumulative percent passing the 1 1/2 in. sieve 100 %
Cumulative percent passing the 1 in. sieve 100 %
Cumulative percent passing the 3/4 in. sieve 88 %
Cumulative percent passing the 1/2 in. sieve 31 %
Cumulative percent passing the 3/8 in. sieve 3 %
Cumulative percent passing the #4 sieve 1 %
Cumulative percent passing the #8 sieve 1 %
Cumulative percent passing the #16 sieve 0.5 %
Cumulative percent passing the #30 sieve no data0 %
Cumulative percent passing the #50 sieve no data0 %
Cumulative percent passing the #100 sieve no data0 %
Cumulative percent passing the #200 sieve no data0 %

Test 2 of 5

DIME Test ID: 2019-02-01-8-2
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 02/13/2019
Date Tested: 02/01/2019
Submitted By Organization: Thinh Org
Organization Address: 1111 S Street,
Organization City: Folsom
Organization State: CA
Organization Zipcode: 99999
Organization Email: ttt@ttt.com
Organization Phone: (111) 998-9858
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
What type of gradation is being tested? Combined Gradation
Cumulative percent passing the 2 in. sieve 100 %
Cumulative percent passing the 1 1/2 in. sieve 100 %
Cumulative percent passing the 1 in. sieve 100 %
Cumulative percent passing the 3/4 in. sieve 100 %
Cumulative percent passing the 1/2 in. sieve 62 %
Cumulative percent passing the 3/8 in. sieve 3 %
Cumulative percent passing the #4 sieve 1 %
Cumulative percent passing the #8 sieve 1 %
Cumulative percent passing the #16 sieve 0.5 %
Cumulative percent passing the #30 sieve no data0 %
Cumulative percent passing the #50 sieve no data0 %
Cumulative percent passing the #100 sieve no data0 %
Cumulative percent passing the #200 sieve no data0 %

Test 3 of 5

DIME Test ID: 2019-02-01-8-3
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 02/13/2019
Date Tested: 02/01/2019
Submitted By Organization: Thinh Org
Organization Address: 1111 S Street,
Organization City: Folsom
Organization State: CA
Organization Zipcode: 99999
Organization Email: ttt@ttt.com
Organization Phone: (111) 998-9858
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
What type of gradation is being tested? Combined Gradation
Cumulative percent passing the 2 in. sieve 100 %
Cumulative percent passing the 1 1/2 in. sieve 100 %
Cumulative percent passing the 1 in. sieve 100 %
Cumulative percent passing the 3/4 in. sieve 100 %
Cumulative percent passing the 1/2 in. sieve 100 %
Cumulative percent passing the 3/8 in. sieve 85 %
Cumulative percent passing the #4 sieve 18 %
Cumulative percent passing the #8 sieve 2 %
Cumulative percent passing the #16 sieve 1 %
Cumulative percent passing the #30 sieve 1 %
Cumulative percent passing the #50 sieve 0.5 %
Cumulative percent passing the #100 sieve no data0 %
Cumulative percent passing the #200 sieve no data0 %

Test 4 of 5

DIME Test ID: 2019-02-01-8-4
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 02/13/2019
Date Tested: 02/01/2019
Submitted By Organization: Thinh Org
Organization Address: 1111 S Street,
Organization City: Folsom
Organization State: CA
Organization Zipcode: 99999
Organization Email: ttt@ttt.com
Organization Phone: (111) 998-9858
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
What type of gradation is being tested? Combined Gradation
Cumulative percent passing the 2 in. sieve 100 %
Cumulative percent passing the 1 1/2 in. sieve 100 %
Cumulative percent passing the 1 in. sieve 100 %
Cumulative percent passing the 3/4 in. sieve 100 %
Cumulative percent passing the 1/2 in. sieve 100 %
Cumulative percent passing the 3/8 in. sieve 100 %
Cumulative percent passing the #4 sieve 99 %
Cumulative percent passing the #8 sieve 80 %
Cumulative percent passing the #16 sieve 60 %
Cumulative percent passing the #30 sieve 47 %
Cumulative percent passing the #50 sieve 37 %
Cumulative percent passing the #100 sieve 29 %
Cumulative percent passing the #200 sieve 18 %

Test 5 of 5

DIME Test ID: 2019-02-01-8-5
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 02/13/2019
Date Tested: 02/01/2019
Submitted By Organization: Thinh Org
Organization Address: 1111 S Street,
Organization City: Folsom
Organization State: CA
Organization Zipcode: 99999
Organization Email: ttt@ttt.com
Organization Phone: (111) 998-9858
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
What type of gradation is being tested? Combined Gradation
Cumulative percent passing the 2 in. sieve 100 %
Cumulative percent passing the 1 1/2 in. sieve 100 %
Cumulative percent passing the 1 in. sieve 100 %
Cumulative percent passing the 3/4 in. sieve 100 %
Cumulative percent passing the 1/2 in. sieve 100 %
Cumulative percent passing the 3/8 in. sieve 100 %
Cumulative percent passing the #4 sieve 100 %
Cumulative percent passing the #8 sieve 75 %
Cumulative percent passing the #16 sieve 49 %
Cumulative percent passing the #30 sieve 30 %
Cumulative percent passing the #50 sieve 18 %
Cumulative percent passing the #100 sieve 7 %
Cumulative percent passing the #200 sieve 2 %