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Sample Record for 2015-09-24-9

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

Project Information

Project ID: 210032 DEA: 044A0904 EFIS: 0415000178 QA Service Level: 1
DIST-CO-RTE-PM: 04-NAP-29,101-47.0/47.2
Work Description: BRIDGE REPLACEMENT.
Location Description: NAPA COUNTY ABOUT 6. MILES NORTH OF CALISTOGA AT TROUTDALE CREEK BRIDGE.
Contractor Name: GORDON N BALL INC
Contractor Address: 333 CAMILLE AVENUE, ALAMO CA 94507
Resident Engineer: Syd Valeh Structure Rep.: Jonathan Chi

Sample Information

DIME Sample ID: 2015-09-24-9
TL Number from the TL Form: Unknown
Sample Submitted By Organization: RMA Group - Rancho Cordova
Sample Organization Contact: (916) 631-7194
Type of Sample: Quality Control
Type of Material: Aggregate
Sample Taken Date: 09/24/2015
Date that the sample was received by the laboratory/organization performing the testing: 09/25/2015
The quantity of what the sample constitutes: 1 Day
A brief description of the sample: 1x4 Aggregates
From where was the sample collected: Source
Laboratory sample identification: 15-111011
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Harold Smith and Sons

Material Information

Source Identification (SMARA, name of Pit or Job Site): Harold Smith and Sons
The fabricator's/manufacturer's product name for the sample: Unknown
The fabricator/manufacturer designation for the sample: Unknown
The plant number: Unknown
A detailed description of where the material sample was collected: Harold Smith and Sons Batch Plant
Where the material sample would have been placed if not sampled: Troutdale Creek Bridge Abutment No 1 Footing
Primary Aggregate Nominal Size:
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:

Test Results

Test 1 of 2

DIME Test ID: 2015-09-24-9-1
Test Method: ASTM C136-06: Standard Test Method for Sieve Analysis of Fine and Coarse Aggregates
Submitted By Organization: RMA Group - Rancho Cordova
Organization Address: 3150 Fitzgerald Road,
Organization City: Rancho Cordova
Organization State: CA
Organization Zipcode: 95742
Organization Email: mlowrance@rmacompanies.com
Organization Phone: (916) 631-7194
Data has not been verified.

Test 2 of 2

DIME Test ID: 2015-09-24-9-2
Test Method: ASTM C117-13: Standard Test Method for Materials Finer than 75-μm (No. 200) Sieve in Mineral Aggregates by Washing
Submitted By Organization: RMA Group - Rancho Cordova
Organization Address: 3150 Fitzgerald Road,
Organization City: Rancho Cordova
Organization State: CA
Organization Zipcode: 95742
Organization Email: mlowrance@rmacompanies.com
Organization Phone: (916) 631-7194
Data has not been verified.