Sample Record for 2024-08-15-100
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1000261 DEA: 010M6704 EFIS: 0123000054
QA Service Level: 1
DIST-CO-RTE-PM: 01-DN-101-R27.9/31.2
Work Description: MICRO-SURFACING, PAVEMENT DELINEATION, AND REPLACE AC SURFACING.
Location Description: DEL NORTE COUNTY NEAR CRESCENT CITY FROM WASHINGTON BOULEVARD OVERCROSSING TO ELK VALLEY CROSS ROAD
Contractor Name: DOOLITTLE CONSTRUCTION, LLC DBA DOOLITTLE ROAD CONSTRUCTION
Contractor Address: Unknown
Resident Engineer: Aaron Valley Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2024-08-15-100
TL Number from the TL Form:
Sample Submitted By Organization: CT D01 - Crescent City Field Laboratory
Sample Organization Contact: (707) 496-5581
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 08/15/2024
Date that the sample was received by the laboratory/organization performing the testing: 09/02/2024
The quantity of what the sample constitutes: 2
A brief description of the sample: 1/4 minus type 2 slurry agg
From where was the sample collected: Source
Laboratory sample identification: 14188
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: knife river central point Oregon
Material Information
Source Identification (SMARA, name of Pit or Job Site): 171110
The fabricator's/manufacturer's product name for the sample: type 2
The fabricator/manufacturer designation for the sample:
The plant number:
A detailed description of where the material sample was collected: Knife river central point oregon
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 1/4 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:
Test Results
Test 1 of 4
DIME Test ID: 2024-08-15-100-1
Test Method: AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)
Submitted By Organization: CT D01 - Crescent City Field Laboratory
Organization Address: 1444 Parkway Dr.,
Organization City: Crescent City
Organization State: CA
Organization Zipcode: 95531
Organization Email: clayton.malmberg@dot.ca.gov
Organization Phone: (707) 496-5581
Data has not been verified.
Test 2 of 4
DIME Test ID: 2024-08-15-100-2
Test Method: AASHTO T210-15: Standard Method of Test for Aggregate Durability Index (Durability Index)
Submitted By Organization: CT D01 - Crescent City Field Laboratory
Organization Address: 1444 Parkway Dr.,
Organization City: Crescent City
Organization State: CA
Organization Zipcode: 95531
Organization Email: clayton.malmberg@dot.ca.gov
Organization Phone: (707) 496-5581
Data has not been verified.
Test 3 of 4
DIME Test ID: 2024-08-15-100-3
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Submitted By Organization: CT D01 - Crescent City Field Laboratory
Organization Address: 1444 Parkway Dr.,
Organization City: Crescent City
Organization State: CA
Organization Zipcode: 95531
Organization Email: clayton.malmberg@dot.ca.gov
Organization Phone: (707) 496-5581
Data has not been verified.
Test 4 of 4
DIME Test ID: 2024-08-15-100-4
Test Method: AASHTO T210-15: Standard Method of Test for Aggregate Durability Index (Durability Index)
Submitted By Organization: CT D01 - Crescent City Field Laboratory
Organization Address: 1444 Parkway Dr.,
Organization City: Crescent City
Organization State: CA
Organization Zipcode: 95531
Organization Email: clayton.malmberg@dot.ca.gov
Organization Phone: (707) 496-5581
Data has not been verified.