Sample Record for 2019-11-06-12
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 213835 DEA: 051F7404 EFIS: 0514000049
QA Service Level: 1
DIST-CO-RTE-PM: 05-MON-101-R28.0/R30.6
Work Description: PLACE CONTINUOUSLY REINFORCED CONCRETE PAVEMENT ON EXISTING ROADWAY.
Location Description: MONTEREY COUNTY NEAR SAN LUCAS FROM 0.1 MILE SOUTH OF PARIS VALLEY ROAD OVERCROSSING TO RANCHO UNDERCROSSING
Contractor Name: PAPICH CONSTRUCTION COMPANY, INC.
Contractor Address: 398 SUNRISE TERRACE, ARROYO GRANDE, CA 93425
Resident Engineer: Amy Norris Structure Rep.: Juan Moreno
Sample Information
DIME Sample ID: 2019-11-06-12
TL Number from the TL Form: C833261
Sample Submitted By Organization: CT HQ - Sacramento Aggregate Testing Laboratory
Sample Organization Contact: (916) 227-7204
Type of Sample: Dispute Resolution
Type of Material: Aggregate
Sample Taken Date: 11/06/2019
Date that the sample was received by the laboratory/organization performing the testing: 11/27/2019
The quantity of what the sample constitutes: 1 bag (combined coarse and fine)
A brief description of the sample: 3/4 HMA combined agg (coarse and fine)
From where was the sample collected: Source
Laboratory sample identification: 19-HMA-0167
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Production Paving-continous plant
Material Information
Source Identification (SMARA, name of Pit or Job Site): not provided
The fabricator's/manufacturer's product name for the sample: Papich Contruction
The fabricator/manufacturer designation for the sample: Unknown
The plant number: Unknown
A detailed description of where the material sample was collected: L3 - SL2
Where the material sample would have been placed if not sampled: Unknown
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number: Unknown
Lot number: 3
Sublot number: 2
Aggregate Mix Number:
Test Results
Test 1 of 1
DIME Test ID: 2019-11-06-12-1
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)
Verified Date: 12/02/2019
Date Tested: 12/02/2019
Submitted By Organization: CT HQ - Sacramento Aggregate Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: bang.d.nguyen@dot.ca.gov
Organization Phone: (916) 227-7204
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
