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Sample Record for 2019-10-16-15

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

Project Information

Project ID: 211260 DEA: 072159U4 EFIS: 0715000160 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA,ORA-5-0.0/1.5, 44.3/44.4
Work Description: CONSTRUCT HOV LANES AND MIX FLOW LANES.
Location Description: LOS ANGELES AND ORANGE COUNTIES IN BUENA PARK, LA MIRADA, CERRITOS AND SANTA FE SPRINGS FROM ARTESIA BOULEVARD UNDERCROSSING TO NORTH FORK COYOTE CREEK
Contractor Name: SECURITY PAVING COMPANY, INC.
Contractor Address: 3075 TOWNSGATE RD. SUITE 200, WESTLAKE VILLAGE, CA 91361
Resident Engineer: George Saker Structure Rep.: Danny Lalonde

Sample Information

DIME Sample ID: 2019-10-16-15
TL Number from the TL Form: Unknown
Sample Submitted By Organization: G3 Quality, Incorporated - Cerritos
Sample Organization Contact: (562) 321-9840
Type of Sample: Quality Control
Type of Material: Aggregate
Sample Taken Date: 10/16/2019
Date that the sample was received by the laboratory/organization performing the testing: 10/17/2019
The quantity of what the sample constitutes: 1 Bag
A brief description of the sample: Rock and Sand
From where was the sample collected: Source
Laboratory sample identification: Mix S70356
Structure unique identifier: 00-0000
Structure name:
The fabricator/manufacturer/facility name: National Ready Mix

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-33-0027::CORONA QUARRY
The fabricator's/manufacturer's product name for the sample: Set 1
The fabricator/manufacturer designation for the sample: Unknown
The plant number: Unknown
A detailed description of where the material sample was collected: Belt
Where the material sample would have been placed if not sampled: Unknown
Primary Aggregate Nominal Size: 1 inch
The concrete mix design number: S70356
Lot number: Unknown
Sublot number: Unknown
Aggregate Mix Number:

Test Results

Test 1 of 3

DIME Test ID: 2019-10-16-15-1
Test Method: ASTM C136-06: Standard Test Method for Sieve Analysis of Fine and Coarse Aggregates
Verified Date: 11/18/2019
Date Tested: 10/17/2019
Submitted By Organization: G3 Quality, Incorporated - Cerritos
Organization Address: 13850 Cerritos Corporate Drive, Unit E,
Organization City: Cerritos
Organization State: CA
Organization Zipcode: 90703
Organization Email: hwalker@g3quality.com
Organization Phone: 562-321-9853
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
What type of gradation is being tested? Combined Gradation
Cumulative percent passing the 2 in. sieve 100 %
Cumulative percent passing the 1 1/2 in. sieve 100 %
Cumulative percent passing the 1 in. sieve 99 %
Cumulative percent passing the 3/4 in. sieve 95 %
Cumulative percent passing the 1/2 in. sieve 78 %
Cumulative percent passing the 3/8 in. sieve 70 %
Cumulative percent passing the #4 sieve 48 %
Cumulative percent passing the #8 sieve 39 %
Cumulative percent passing the #16 sieve 31 %
Cumulative percent passing the #30 sieve 22 %
Cumulative percent passing the #50 sieve 11 %
Cumulative percent passing the #100 sieve 4 %
Cumulative percent passing the #200 sieve 1.8 %

Test 2 of 3

DIME Test ID: 2019-10-16-15-2
Test Method: ASTM D2419-09: Standard Test Method for Sand Equivalent Value of Soils and Fine Aggregate
Verified Date: 11/18/2019
Date Tested: 10/17/2019
Submitted By Organization: G3 Quality, Incorporated - Cerritos
Organization Address: 13850 Cerritos Corporate Drive, Unit E,
Organization City: Cerritos
Organization State: CA
Organization Zipcode: 90703
Organization Email: hwalker@g3quality.com
Organization Phone: 562-321-9853
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sand Equivalent 87

Test 3 of 3

DIME Test ID: 2019-10-16-15-3
Test Method: ASTM C566-13: Standard Test Method for Total Evaporable Moisture Content of Aggregate by Drying
Verified Date: 11/18/2019
Date Tested: 10/17/2019
Submitted By Organization: G3 Quality, Incorporated - Cerritos
Organization Address: 13850 Cerritos Corporate Drive, Unit E,
Organization City: Cerritos
Organization State: CA
Organization Zipcode: 90703
Organization Email: hwalker@g3quality.com
Organization Phone: 562-321-9853
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Total evaporable moisture content 10.5 %