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Sample Record for 2014-05-23-13101935

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

Project Information

Project ID: 209175 DEA: 030F2204 EFIS: 0300000072 QA Service Level: 1
DIST-CO-RTE-PM: 03-ED-50-R30.7/R31.7
Work Description: REPLACE BRIDGE.
Location Description: SLY PARK UNDERCROSSING
Contractor Name: VIKING CONSTRUCTION COMPANY, INC.
Contractor Address: P.O. Box 1508 , Rancho Cordova, CA 95741
Resident Engineer: Jarrett Woodruff Structure Rep.: Brandon Miller

Sample Information

DIME Sample ID: 2014-05-23-13101935
TL Number from the TL Form:
Sample Submitted By Organization: Viking Construction Company, Incorporated - Rancho Cordova
Sample Organization Contact: (916) 852-5530
Type of Sample: Quality Control
Type of Material: Aggregate
Sample Taken Date: 05/23/2014
Date that the sample was received by the laboratory/organization performing the testing: 05/23/2014
The quantity of what the sample constitutes: 1 bag
A brief description of the sample: Abutment 1 Stage 1 Footing Concrete Aggregate
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Folsom Ready Mix

Material Information

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

Test Results

Test 1 of 2

DIME Test ID: 2014-05-23-13101935-0
Test Method: ASTM D2419-09: Standard Test Method for Sand Equivalent Value of Soils and Fine Aggregate
Verified Date: 07/02/2014
Date Tested: 05/23/2014
Submitted By Organization: Viking Construction Company, Incorporated - Rancho Cordova
Organization Address: 11315 Sunrise Gold Circle, Suite A,
Organization City: Rancho Cordova
Organization State: CA
Organization Zipcode: 95742
Organization Email: dfishback@vikingbridges.com
Organization Phone: (916) 852-5530
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sand Equivalent 84

Test 2 of 2

DIME Test ID: 2014-05-23-13101935-2
Test Method: ASTM C136-06: Standard Test Method for Sieve Analysis of Fine and Coarse Aggregates
Verified Date: 07/02/2014
Date Tested: 05/23/2014
Submitted By Organization: Viking Construction Company, Incorporated - Rancho Cordova
Organization Address: 11315 Sunrise Gold Circle, Suite A,
Organization City: Rancho Cordova
Organization State: CA
Organization Zipcode: 95742
Organization Email: dfishback@vikingbridges.com
Organization Phone: (916) 852-5530
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
What type of gradation is being tested? 1 in. x No. 4 - Coarse Aggregate
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 88 %