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Sample Record for 2024-07-02-50

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

Project Information

Project ID: 995031 DEA: 023H82U4 EFIS: 0223000011 QA Service Level: 1
DIST-CO-RTE-PM: 02-LAS-44-0.0/37.2
Work Description: REPLACE AC SURFACING, PLACE RHMA, HMA, THERMOPLASTIC TRAFFIC STRIPE.
Location Description: LASSEN COUNTY ABOUT 9 MILES EAST OF OLD STATION FROM SHASTA COUNTY LINE TO ROUTE 36
Contractor Name: HAT CREEK CONSTRUCTION & MATERIALS, INC.
Contractor Address: 24339 Hwy 89 N, Burney, CA 96013
Resident Engineer: Edward Worden Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2024-07-02-50
TL Number from the TL Form:
Sample Submitted By Organization: Precast Unlimited Inc.
Sample Organization Contact: (530) 243-6477
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: 12406.7g
A brief description of the sample: 1' x #4 River Rock
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Folsom Ready Mix

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-45-0061
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
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 1 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2024-07-02-50-1
Test Method: ASTM C117-17: Standard Test Method for Materials Finer than 75-μm (No. 200) Sieve in Mineral Aggregates by Washing
Verified Date: 07/10/2024
Date Tested: 07/02/2024
Submitted By Organization: Precast Unlimited Inc.
Organization Address: 16538 Clear Creek Rd.,
Organization City: Redding
Organization State: CA
Organization Zipcode: 96001
Organization Email: chase@precastunlimited.com
Organization Phone: 1 (530) 243-6477
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Percent finer than No. 200 sieve 1.1 %

Test 2 of 2

DIME Test ID: 2024-07-02-50-2
Test Method: ASTM C136-19: Standard Test Method for Sieve Analysis of Fine and Coarse Aggregates
Verified Date: 07/10/2024
Date Tested: 07/02/2024
Submitted By Organization: Precast Unlimited Inc.
Organization Address: 16538 Clear Creek Rd.,
Organization City: Redding
Organization State: CA
Organization Zipcode: 96001
Organization Email: chase@precastunlimited.com
Organization Phone: 1 (530) 243-6477
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
What type of gradation is being tested? 1 in. x No. 4 - Coarse Aggregate
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 88 %
Cumulative percent passing the 1/2 in. sieve 41 %
Cumulative percent passing the 3/8 in. sieve 14 %
Cumulative percent passing the #4 sieve 2 %
Cumulative percent passing the #8 sieve 1 %