Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994525 DEA: 031H9904 EFIS: 0317000043
QA Service Level: 1
DIST-CO-RTE-PM: 03-PLA,NEV-80-68.3/69.7,0.0/R2.7
Work Description: RDWY EXC, PLACE HMA & JPCP, SLAB REPLACEMENT & POLYESTER CONC OVERLAY.
Location Description: PLACER AND NEVADA COUNTIES NEAR KINGVALE FROM 0.3 MILE WEST OF TROY UNDERCROSSING TO 0.2 MILE EAST OF SODA SPRINGS OVERCROSSING
Contractor Name: A. TEICHERT & SON INC DBA TEICHERT CONSTRUCTION
Contractor Address: 4401 Duluth Avenue, Rocklin, CA 95765
Resident Engineer: Randie Babbini Structure Rep.: Carl Anderson
DIME Sample ID: 2024-07-02-20
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: 07/02/2024
Date that the sample was received by the laboratory/organization performing the testing: 07/02/2024
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: Con-Fab California, LLC
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:
Lot number:
Sublot number:
Aggregate Mix Number:
DIME Test ID: 2024-07-02-20-1
Test Method: ASTM C566-19: Standard Test Method for Total Evaporable Moisture Content of Aggregate by Drying
Verified Date: 07/03/2024
Date Tested: 07/02/2024
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: 2.75%
1/2": 0.30%
3/8": 0.30%
Test Result Compliance:
Additional Comments When Verified:
|
Total evaporable moisture content
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2.8 %
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