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Sample Record for 2024-08-21-103

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

Project Information

Project ID: 1000263 DEA: 042Y4604 EFIS: 0423000118 QA Service Level: 1
DIST-CO-RTE-PM: 04-SCL,ALA-680-M8.5/M9.9,M0.0/M0.1
Work Description: COLD PLANE ASPHALT CONCRETE PAVEMENT AND OVERLAY WITH RHMA-G.
Location Description: SANTA CLARA AND ALAMEDA COUNTIES IN MILPITAS AND FREMONT FROM JACKLIN ROAD UNDERCROSSING TO SCOTT CREEK ROAD UNDERCROSSING
Contractor Name: O.C. JONES & SONS, INC.
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2024-08-21-103
TL Number from the TL Form: C317-082124-1
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: 08/21/2024
Date that the sample was received by the laboratory/organization performing the testing: 08/22/2024
The quantity of what the sample constitutes: 1Bag
A brief description of the sample: 1/2" RHMA-G WMA
From where was the sample collected: Supplier
Laboratory sample identification: SJ-082124-PSU-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: Sampled from 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: 2
Sublot number: 1
Aggregate Mix Number:

Test Results

Test 1 of 2

DIME Test ID: 2024-08-21-103-1
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: 2024-08-21-103-2
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.