Sample Record for 2024-08-13-81
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 994366 DEA: 044J9104 EFIS: 0416000010
QA Service Level: 1
DIST-CO-RTE-PM: 04-SCL-87-0.0/6.1
Work Description: Cold plane AC, paving with RHMA, upgrade median CB and curb ramp.
Location Description: CONSTRUCTION ON STATE HIGHWAY IN SANTA CLARA COUNTY IN SAN JOSE FROM ROUTE 85/87 SEPARATION TO 0.1 MILE NORTH OF JULIAN STREET UNDERCROSSING.
Contractor Name: O.C. Jones & Sons Inc. (Juan M. Hernandez)
Contractor Address: 1520 Fourth Street, Berkeley, CA 94710
Resident Engineer: Ali Nikzad Structure Rep.: STEVE GONG
Sample Information
DIME Sample ID: 2024-08-13-81
TL Number from the TL Form: C317-081324-1
Sample Submitted By Organization: CT D04 - San Jose Construction Field Laboratory
Sample Organization Contact: (510) 385-8171
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 08/13/2024
Date that the sample was received by the laboratory/organization performing the testing: 08/14/2024
The quantity of what the sample constitutes: 1 bag
A brief description of the sample: 1/2" RHMA-G WMA
From where was the sample collected: Supplier
Laboratory sample identification: SJ-081324-SA1
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Martin Marietta Sunol Drier Drum Plant
Material Information
Source Identification (SMARA, name of Pit or Job Site): 91-01-0011
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: Belt Stream at the Plant
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 1/2 inch
The concrete mix design number: 64S4BV-2401C
Lot number: 4
Sublot number: 6
Aggregate Mix Number:
Test Results
Test 1 of 2
DIME Test ID: 2024-08-13-81-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Submitted By Organization: CT D04 - San Jose Construction Field Laboratory
Organization Address: 1007 Knox Avenue,
Organization City: San Jose
Organization State: CA
Organization Zipcode: 95122
Organization Email: fernando.vega@dot.ca.gov
Organization Phone: (510) 385-8171
Data has not been verified.
Test 2 of 2
DIME Test ID: 2024-08-13-81-2
Test Method: AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent)
Submitted By Organization: CT D04 - San Jose Construction Field Laboratory
Organization Address: 1007 Knox Avenue,
Organization City: San Jose
Organization State: CA
Organization Zipcode: 95122
Organization Email: fernando.vega@dot.ca.gov
Organization Phone: (510) 385-8171
Data has not been verified.
