Sample Record for 2020-03-20-15
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 214253 DEA: 051J0404 EFIS: 0517000054
QA Service Level: 1
DIST-CO-RTE-PM: 05-SLO,MON-46,101-49.5,R3.1/R5.2
Work Description: INSTALL ELECTRIC VEHICLE CHARGING STATIONS.
Location Description: SAN LUIS OBISPO AND MONTEREY COUNTIES ON ROUTE 46 AT SHANDON SAFETY ROADSIDE REST AREA AND ON ROUTE 101 AT CAMP ROBERTS SAFETY ROADSIDE REST AREAS
Contractor Name: Hoseley Corp
Contractor Address: 1485 Bayshore Boulevard, #193, San Francisco, CA 94 124
Resident Engineer: Amy Norris Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2020-03-20-15
TL Number from the TL Form:
Sample Submitted By Organization: CalPortland
Sample Organization Contact: (805) 345-3472
Type of Sample: Quality Control
Type of Material: Aggregate
Sample Taken Date: 03/20/2020
Date that the sample was received by the laboratory/organization performing the testing: 03/20/2020
The quantity of what the sample constitutes: 6 Bags
A brief description of the sample: Bin 2
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CalPortland Paso Robles
Material Information
Source Identification (SMARA, name of Pit or Job Site): 91-40-0013::ROCKY CANYON
The fabricator's/manufacturer's product name for the sample: Unknown
The fabricator/manufacturer designation for the sample: Unknown
The plant number: Unknown
A detailed description of where the material sample was collected: Stockpile @ Plant
Where the material sample would have been placed if not sampled: Unknown
Primary Aggregate Nominal Size: 3/8 inch
The concrete mix design number: Unknown
Lot number: Unknown
Sublot number: Unknown
Aggregate Mix Number:
Test Results
Test 1 of 1
DIME Test ID: 2020-03-20-15-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Submitted By Organization: CalPortland
Organization Address: 1625 East Donovan Road,
Organization City: Santa Maria
Organization State: CA
Organization Zipcode: 93454
Organization Email: pimhoff@calportland.com
Organization Phone: (805) 345-3472
Data has not been verified.
