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Sample Record for 2024-06-10-53

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

Project Information

Project ID: 1000310 DEA: 041X5804 EFIS: 0424000402 QA Service Level: 1
DIST-CO-RTE-PM: 04-SON-116-19.9
Work Description: Remove 12" AC overlay on the Jones Creek Bridge and Install precast pre-stressed slab girder.
Location Description: Jones Creek Bridge (Bridge # 20-0094) in Sonoma 116 post mile 19.9
Contractor Name: Gordon N Ball, Inc.
Contractor Address: 333 Camille Avenue, Alamo, CA 94507
Resident Engineer: Unknown Structure Rep.: Anthony Tierra

Sample Information

DIME Sample ID: 2024-06-10-53
TL Number from the TL Form:
Sample Submitted By Organization: Con-Fab California Corporation - Lathrop
Sample Organization Contact: (209) 249-4700
Type of Sample: Quality Control
Type of Material: Aggregate
Sample Taken Date: 06/10/2024
Date that the sample was received by the laboratory/organization performing the testing: 06/10/2024
The quantity of what the sample constitutes: 1 Bucket of 1/2", 1 Bucket of 3/8", One Bucket of Sand
A brief description of the sample: 1 Bucket of 1/2", 1 Bucket of 3/8", One Bucket of Sand
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Confab Lathrop - KRC Vernalis

Material Information

Source Identification (SMARA, name of Pit or Job Site): Confab California Lathrop
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: Stockpile @ Plant
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 1/2 inch
The concrete mix design number: VER-85LV
Lot number:
Sublot number:
Aggregate Mix Number:

Test Results

Test 1 of 4

DIME Test ID: 2024-06-10-53-1
Test Method: ASTM D2419-14: Standard Test Method for Sand Equivalent Value of Soils and Fine Aggregate
Verified Date: 06/12/2024
Date Tested: 06/11/2024
Submitted By Organization: Con-Fab California Corporation - Lathrop
Organization Address: 1910 Lathrop Road,
Organization City: Lathrop
Organization State: CA
Organization Zipcode: 95330
Organization Email: dannyc@confabca.com
Organization Phone: (209) 249-4717
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sand Equivalent 83

Test 2 of 4

DIME Test ID: 2024-06-10-53-2
Test Method: ASTM C117-17: Standard Test Method for Materials Finer than 75-μm (No. 200) Sieve in Mineral Aggregates by Washing
Verified Date: 06/12/2024
Date Tested: 06/11/2024
Submitted By Organization: Con-Fab California Corporation - Lathrop
Organization Address: 1910 Lathrop Road,
Organization City: Lathrop
Organization State: CA
Organization Zipcode: 95330
Organization Email: dannyc@confabca.com
Organization Phone: (209) 249-4717
General Comments for this Test: Sand: 1.4% 1/2" Rock: 0.5% 3/8" Rock: 0.9%
Test Result Compliance:
Additional Comments When Verified:
Percent finer than No. 200 sieve 1.4 %

Test 3 of 4

DIME Test ID: 2024-06-10-53-3
Test Method: ASTM C566-19: Standard Test Method for Total Evaporable Moisture Content of Aggregate by Drying
Verified Date: 06/12/2024
Date Tested: 06/10/2024
Submitted By Organization: Con-Fab California Corporation - Lathrop
Organization Address: 1910 Lathrop Road,
Organization City: Lathrop
Organization State: CA
Organization Zipcode: 95330
Organization Email: dannyc@confabca.com
Organization Phone: (209) 249-4717
General Comments for this Test: Sand: 3.10% 1/2": 0.39% 3/8": 0.39%
Test Result Compliance:
Additional Comments When Verified:
Total evaporable moisture content 3.1 %

Test 4 of 4

DIME Test ID: 2024-06-10-53-4
Test Method: ASTM C136-19: Standard Test Method for Sieve Analysis of Fine and Coarse Aggregates
Verified Date: 06/12/2024
Date Tested: 06/11/2024
Submitted By Organization: Con-Fab California Corporation - Lathrop
Organization Address: 1910 Lathrop Road,
Organization City: Lathrop
Organization State: CA
Organization Zipcode: 95330
Organization Email: dannyc@confabca.com
Organization Phone: (209) 249-4717
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
What type of gradation is being tested? Combined Gradation
Cumulative percent passing the 2 in. sieve 100 %
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 95.5 %
Cumulative percent passing the 3/8 in. sieve 76.8 %
Cumulative percent passing the #4 sieve 49.1 %
Cumulative percent passing the #8 sieve 40 %
Cumulative percent passing the #16 sieve 26.3 %
Cumulative percent passing the #30 sieve 16.8 %
Cumulative percent passing the #50 sieve 9.8 %
Cumulative percent passing the #100 sieve 3.3 %
Cumulative percent passing the #200 sieve 1 %