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Sample Record for 2014-01-30-12002046

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

Project Information

Project ID: 9999 DEA: 00000000 EFIS: 0000000000 COOP: 99999333399 MINOR: 333333 Permit Numbers: 555555 0400NRT0000 QA Service Level: 1
DIST-CO-RTE-PM: 03-SAC,OMG-888,99,80-0.6-0.6
Work Description: THIS PROJECT RECORD WAS ADDED FOR DIME DEVELOPERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Location Description: THIS PROJECT RECORD WAS ADDED FOR DIME DEVELOPERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Contractor Name: YYZ
Contractor Address: 1234 address, Sacramento, CA 95824
Resident Engineer: RE_first RE_last Structure Rep.: SR_First SR_Last

Sample Information

DIME Sample ID: 2014-01-30-12002046
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Materials Management Branch Field Office
Sample Organization Contact: (562) 500-5861
Type of Sample: Quality Control
Type of Material: Aggregate
Sample Taken Date: 01/30/2014
Date that the sample was received by the laboratory/organization performing the testing: 01/29/2014
The quantity of what the sample constitutes: 3 bags
A brief description of the sample: Sample is brief
From where was the sample collected: Source
Laboratory sample identification: SID1234
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Source Name

Material Information

Source Identification (SMARA, name of Pit or Job Site): Smara 1234
The fabricator's/manufacturer's product name for the sample: Prod Name
The fabricator/manufacturer designation for the sample: Desig
The plant number: Plant1234
A detailed description of where the material sample was collected: From sheelbarrow
Where the material sample would have been placed if not sampled: o
Primary Aggregate Nominal Size: 1 inch
The concrete mix design number: Mix1234
Lot number:
Sublot number:
Aggregate Mix Number:

Test Results

Test 1 of 6

DIME Test ID: 2014-01-30-12002046-1
Test Method: ASTM C117-04: Standard Test Method for Materials Finer than 75-μm (No. 200) Sieve in Mineral Aggregates by Washing
Submitted By Organization: CT HQ - Sacramento Materials Management Branch Field Office
Organization Address: 5900 Folsom Boulevard, MS 5,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: brett.soldano@dot.ca.gov
Organization Phone: (562) 500-5861
Data has not been verified.

Test 2 of 6

DIME Test ID: 2014-01-30-12002046-2
Test Method: ASTM C136-06: Standard Test Method for Sieve Analysis of Fine and Coarse Aggregates
Verified Date: 01/14/2019
Date Tested: 01/01/2014
Submitted By Organization: CT HQ - Sacramento Materials Management Branch Field Office
Organization Address: 5900 Folsom Boulevard, MS 5,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: brett.soldano@dot.ca.gov
Organization Phone: (562) 500-5861
General Comments for this Test: This test comments
Test Result Compliance: complies
Additional Comments When Verified:
What type of gradation is being tested? Combined Gradation
Cumulative percent passing the 2 in. sieve 100.1 %
Cumulative percent passing the 1 1/2 in. sieve 95 %
Cumulative percent passing the 1 in. sieve 80 %
Cumulative percent passing the 3/4 in. sieve 65 %
Cumulative percent passing the 1/2 in. sieve 55 %
Cumulative percent passing the 3/8 in. sieve 40 %
Cumulative percent passing the #4 sieve 32 %
Cumulative percent passing the #8 sieve 25 %
Cumulative percent passing the #16 sieve 20 %
Cumulative percent passing the #30 sieve 16 %
Cumulative percent passing the #50 sieve 7 %
Cumulative percent passing the #100 sieve 5 %
Cumulative percent passing the #200 sieve 0 %

Test 3 of 6

DIME Test ID: 2014-01-30-12002046-3
Test Method: ASTM C566-04: Standard Test Method for Total Evaporable Moisture Content of Aggregate by Drying
Submitted By Organization: CT HQ - Sacramento Materials Management Branch Field Office
Organization Address: 5900 Folsom Boulevard, MS 5,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: brett.soldano@dot.ca.gov
Organization Phone: (562) 500-5861
Data has not been verified.

Test 4 of 6

DIME Test ID: 2014-01-30-12002046-4
Test Method: ASTM D2419-09: Standard Test Method for Sand Equivalent Value of Soils and Fine Aggregate
Submitted By Organization: CT HQ - Sacramento Materials Management Branch Field Office
Organization Address: 5900 Folsom Boulevard, MS 5,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: brett.soldano@dot.ca.gov
Organization Phone: (562) 500-5861
Data has not been verified.

Test 5 of 6

DIME Test ID: 2014-01-30-12002046-5
Test Method: ASTM C117-13: Standard Test Method for Materials Finer than 75-μm (No. 200) Sieve in Mineral Aggregates by Washing
Submitted By Organization: CT HQ - Sacramento Materials Management Branch Field Office
Organization Address: 5900 Folsom Boulevard, MS 5,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: brett.soldano@dot.ca.gov
Organization Phone: (562) 500-5861
Data has not been verified.

Test 6 of 6

DIME Test ID: 2014-01-30-12002046-6
Test Method: ASTM C566-13: Standard Test Method for Total Evaporable Moisture Content of Aggregate by Drying
Submitted By Organization: CT HQ - Sacramento Materials Management Branch Field Office
Organization Address: 5900 Folsom Boulevard, MS 5,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: brett.soldano@dot.ca.gov
Organization Phone: (562) 500-5861
Data has not been verified.