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Sample Record for 2023-05-24-54

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

Project Information

Project ID: 994068 DEA: 081C7204 EFIS: 0813000003 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-15-R96.1/R124.3
Work Description: IMPORTED BORROW, SHOULDER BACKING, AND STRUCTURAL CONCRETE.
Location Description: SAN BERNARDINO ABOUT 22 MILES NORTHEAST OF BARSTOW AT VARIOUS LOCATIONS FROM 0.3 MILE SOUTH OF HARVARD ROAD OVERCROSSING TO 0.1 MILE NORTH OF RASOR ROAD OVERCROSSING
Contractor Name: SKANSKA USA CIVIL
Contractor Address: 1995 AGUA MANSA RD, RIVERSIDE, CA 92509
Resident Engineer: Thanh Pham Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-05-24-54
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Blythe Field Testing Laboratory
Sample Organization Contact: 9096015132
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 05/24/2023
Date that the sample was received by the laboratory/organization performing the testing: 05/24/2023
The quantity of what the sample constitutes: 3 Bags
A brief description of the sample: 1.5" PCC AGRREGATE
From where was the sample collected: Fabricator
Laboratory sample identification: 05242023 TEST 01 20 CY OUT AT 0745 AM
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Robertsons Barstow

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-36-0046
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: 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: SC590B38
Lot number:
Sublot number:
Aggregate Mix Number:
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2023-05-24-54-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 06/05/2023
Date Tested: 05/24/2023
Submitted By Organization: CT D08 - Blythe Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: brian.teh@dot.ca.gov
Organization Phone: (909) 601-5132
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 98 %
Cumulative percent passing the 3/4 in. sieve 83 %
Cumulative percent passing the 1/2 in. sieve 0 %
Cumulative percent passing the 3/8 in. sieve 24 %
Cumulative percent passing the #4 sieve 5 %
Cumulative percent passing the #8 sieve 4 %
Cumulative percent passing the #16 sieve 62 %
Cumulative percent passing the #30 sieve 39 %
Cumulative percent passing the #50 sieve 20 %
Cumulative percent passing the #100 sieve 7 %
Cumulative percent passing the #200 sieve 3 %