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Sample Record for 2019-02-01-9

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: 2019-02-01-9
TL Number from the TL Form:
Sample Submitted By Organization: Thinh Org
Sample Organization Contact: (111) 998-9858
Type of Sample: Quality Control
Type of Material: Reclaimed Asphalt Pavement
Sample Taken Date: 02/01/2019
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 1
A brief description of the sample: 1
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: 1

Material Information

RAP Source: 1111
Aggregate Size:
Aggregate Source:
RAP Stockpile:
Stockpile Size (tons):

Test Results

Test 1 of 4

DIME Test ID: 2019-02-01-9-1
Test Method: AASHTO T30-15: Standard Method of Test for Mechanical Analysis of Extracted Aggregate (Mechanical Analysis)
Verified Date: 02/14/2019
Date Tested: 02/01/2019
Submitted By Organization: Thinh Org
Organization Address: 1111 s street,
Organization City: Folsom
Organization State: CA
Organization Zipcode: 99999
Organization Email: ttt@ttt.com
Organization Phone: (111) 998-9858
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Cumulative percent passing the 2 in. sieve no data
Cumulative percent passing the 1 1/2 in. sieve 100 %
Cumulative percent passing the 1 in. sieve 100 %
Cumulative percent passing the 3/4 in. sieve 100 %
Cumulative percent passing the 1/2 in. sieve 98 %
Cumulative percent passing the 3/8 in. sieve 89 %
Cumulative percent passing the 1/4 in. sieve no data
Cumulative percent passing the #4 sieve 69 %
Cumulative percent passing the #8 sieve 54 %
Cumulative percent passing the #16 sieve 41 %
Cumulative percent passing the #30 sieve 29 %
Cumulative percent passing the #50 sieve 19 %
Cumulative percent passing the #100 sieve 13 %
Cumulative percent passing the #200 sieve 8.8 %

Test 2 of 4

DIME Test ID: 2019-02-01-9-2
Test Method: AASHTO T30-15: Standard Method of Test for Mechanical Analysis of Extracted Aggregate (Mechanical Analysis)
Submitted By Organization: CT HQ - Sacramento Materials Management Branch Field Office
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: bscott@altavistasolutions.com
Organization Phone: (562) 500-5861
Data has not been verified.

Test 3 of 4

DIME Test ID: 2019-02-01-9-3
Test Method: AASHTO T30-15: Standard Method of Test for Mechanical Analysis of Extracted Aggregate (Mechanical Analysis)
Submitted By Organization: CT HQ - Sacramento Materials Management Branch Field Office
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: bscott@altavistasolutions.com
Organization Phone: (562) 500-5861
Data has not been verified.

Test 4 of 4

DIME Test ID: 2019-02-01-9-4
Test Method: AASHTO T30-15: Standard Method of Test for Mechanical Analysis of Extracted Aggregate (Mechanical Analysis)
Submitted By Organization: CT HQ - Sacramento Materials Management Branch Field Office
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: bscott@altavistasolutions.com
Organization Phone: (562) 500-5861
Data has not been verified.

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.