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Sample Record for 2024-09-04-36

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Project Information

Project ID: 995535 DEA: 120T8704 EFIS: 1222000110 QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-5,57-30.3/39.6,10.7/21.8
Work Description: APPLY METHACRYLATE, POLYESTER CONCRETE, AND REPLACE JOINT SEALS.
Location Description: ORANGE COUNTY AT VARIOUS LOCATIONS ON ROUTE 5 FROM ROUTE 5/55 SEPARATION TO EUCLID STREET OVERCROSSING AND ON ROUTE 57 FROM ROUTE 5/57 SEPARATION TO TONNER CANYON ROAD UNDERCROSSING
Contractor Name: TRUESDELL CORPORATION OF CALIFORNIA, INC.
Contractor Address: 1310 W. 23rd Street, Temple, AZ 85282
Resident Engineer: Karim Ahmed Structure Rep.: Bijan Ronagh-Langroodi

Sample Information

DIME Sample ID: 2024-09-04-36
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: 09/04/2024
Date that the sample was received by the laboratory/organization performing the testing: 09/04/2024
The quantity of what the sample constitutes: 1306.0g
A brief description of the sample: 3/8" x #8 Aggregate
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: Folsom Ready Mix Stockpile
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/8 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: 2024-09-04-36-1
Test Method: ASTM C117-17: Standard Test Method for Materials Finer than 75-μm (No. 200) Sieve in Mineral Aggregates by Washing
Verified Date: 09/06/2024
Date Tested: 09/05/2024
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 0.9 %

Test 2 of 2

DIME Test ID: 2024-09-04-36-2
Test Method: ASTM C136-19: Standard Test Method for Sieve Analysis of Fine and Coarse Aggregates
Verified Date: 09/06/2024
Date Tested: 09/05/2024
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? 0.375 in x No. 8 - Coarse Aggregate
Cumulative percent passing the 1/2 in. sieve 100 %
Cumulative percent passing the 3/8 in. sieve 99 %
Cumulative percent passing the #4 sieve 15 %
Cumulative percent passing the #8 sieve 2 %