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Sample Record for 2022-05-11-69

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

Project Information

Project ID: 214337 DEA: 080E33U4 EFIS: 0817000075 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-115-R7.3/R10.0
Work Description: ADD WB AUX & EB DECEL LANES, WIDEN I15 SW CONNECT,RAMPS/BRDG
Location Description: SAN BERNARDINO COUNTY IN ONTARIO FROM 0.2 MILE WEST OF CUCAMONGA CREEK BRIDGE TO MILLIKEN AVENUE
Contractor Name: Ames Construction
Contractor Address: 391 North Main Street, Suite 302, Corona, CA 92880
Resident Engineer: Denise Sostrom Structure Rep.: Matt Bruce

Sample Information

DIME Sample ID: 2022-05-11-69
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Barstow Field Laboratory 1
Sample Organization Contact: (760) 252-9216
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 05/11/2022
Date that the sample was received by the laboratory/organization performing the testing: 05/12/2022
The quantity of what the sample constitutes: 3 bags
A brief description of the sample: 1 x 4 PCC Aggregate and Sand
From where was the sample collected: Manufacturer
Laboratory sample identification: TEST 1 AT 1130AM OF 20 CY OUT
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Robertson Pomona

Material Information

Source Identification (SMARA, name of Pit or Job Site): SMARA 91-33-0040
The fabricator's/manufacturer's product name for the sample: AMES CONSTRUCTION
The fabricator/manufacturer designation for the sample:
The plant number:
A detailed description of where the material sample was collected: At the plant
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 1-1/2 inch
The concrete mix design number: sc190b38
Lot number:
Sublot number:
Aggregate Mix Number:
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2022-05-11-69-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 07/13/2022
Date Tested: 05/16/2022
Submitted By Organization: CT D08 - Barstow Field Laboratory 1
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: kaushalkumar.talati@dot.ca.gov
Organization Phone: (951) 840-8328
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
What type of gradation is being tested? Combined Gradation
Cumulative percent passing the 2 in. sieve 0 %
Cumulative percent passing the 1 1/2 in. sieve 100 %
Cumulative percent passing the 1 in. sieve 96 %
Cumulative percent passing the 3/4 in. sieve 78 %
Cumulative percent passing the 1/2 in. sieve 30 %
Cumulative percent passing the 3/8 in. sieve 12 %
Cumulative percent passing the #4 sieve 5 %
Cumulative percent passing the #8 sieve 5 %
Cumulative percent passing the #16 sieve 4 %
Cumulative percent passing the #30 sieve 0 %
Cumulative percent passing the #50 sieve 0 %
Cumulative percent passing the #100 sieve 0 %
Cumulative percent passing the #200 sieve 0 %