Sample Record for 2022-03-10-23
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 214819 DEA: 07288304 EFIS: 0700021024
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-60,60,164,210-Var
Work Description: STORM WATER MITIGATION
Location Description: LOS ANGELES COUNTY AT VARIOUS LOCATIONS
Contractor Name: CHUMO CONSTRUCTION INC
Contractor Address: 14425 Joanbridge St, Baldwin Park, CA 91706
Resident Engineer: Sushilkumar Chaudhari Structure Rep.: Pratheep Piratheepan
Sample Information
DIME Sample ID: 2022-03-10-23
TL Number from the TL Form: C-006558
Sample Submitted By Organization: CT D07 - Plant Services
Sample Organization Contact: 562-345-3126
Type of Sample: Department Acceptance
Type of Material: Aggregate
Sample Taken Date: 03/10/2022
Date that the sample was received by the laboratory/organization performing the testing: 03/11/2022
The quantity of what the sample constitutes: 100 cy
A brief description of the sample: Washed Concrete Sand
From where was the sample collected: Manufacturer
Laboratory sample identification: 6069
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Robertsons Ready Mix Concrete-Irwindale
Material Information
Source Identification (SMARA, name of Pit or Job Site): 91-19-0033
The fabricator's/manufacturer's product name for the sample: LCB
The fabricator/manufacturer designation for the sample: SC270N31
The plant number: 13
A detailed description of where the material sample was collected: Belt Cut at Plant
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 1 inch
The concrete mix design number: SC270N31
Lot number:
Sublot number:
Aggregate Mix Number:
Test Results
Test 1 of 2
DIME Test ID: 2022-03-10-23-1
Test Method: ASTM C136-19: Standard Test Method for Sieve Analysis of Fine and Coarse Aggregates
Verified Date: 04/07/2022
Date Tested: 03/17/2022
Submitted By Organization: CT D07 - Plant Services
Organization Address: 13230 East Firestone Boulevard, Suite G,
Organization City: Santa Fe Springs
Organization State: CA
Organization Zipcode: 90670
Organization Email: victor.zengler@dot.ca.gov
Organization Phone: (562) 345-3126
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
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What type of gradation is being tested?
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Combined Gradation
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Cumulative percent passing the 2 in. sieve
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Cumulative percent passing the 1 1/2 in. sieve
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Cumulative percent passing the 1 in. sieve
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Cumulative percent passing the 3/4 in. sieve
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Cumulative percent passing the 1/2 in. sieve
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Cumulative percent passing the 3/8 in. sieve
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Cumulative percent passing the #4 sieve
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Test 2 of 2
DIME Test ID: 2022-03-10-23-2
Test Method: ASTM D2419-14: Standard Test Method for Sand Equivalent Value of Soils and Fine Aggregate
Verified Date: 04/07/2022
Date Tested: 03/17/2022
Submitted By Organization: CT D07 - Plant Services
Organization Address: 13230 East Firestone Boulevard, Suite G,
Organization City: Santa Fe Springs
Organization State: CA
Organization Zipcode: 90670
Organization Email: victor.zengler@dot.ca.gov
Organization Phone: (562) 345-3126
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
