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Sample Record for 2020-05-29-10

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

Project Information

Project ID: 213598 DEA: 051F75U4 EFIS: 0518000092 QA Service Level: 1
DIST-CO-RTE-PM: 05-MON-101-R36.9/47.7
Work Description: CRCP, SEISMIC RETROFIT, BRIDGE WIDENING AND MEDIAN BARRIER
Location Description: MONTEREY COUNTY IN AND NEAR KING CITY FROM 0.4 MILE SOUTH OF WILD HORSE ROAD OVERCROSSING TO TEAGUE AVENUE
Contractor Name: OHL USA, INC.
Contractor Address: 1920 Main St. Suite 310, Irvine, CA 92614
Resident Engineer: Adam Rianda Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-05-29-10
TL Number from the TL Form:
Sample Submitted By Organization: CT D05 - San Luis Obispo District Laboratory
Sample Organization Contact: (559) 230-3109
Type of Sample: Per Request
Type of Material: Aggregate
Sample Taken Date: 05/29/2020
Date that the sample was received by the laboratory/organization performing the testing: 06/03/2020
The quantity of what the sample constitutes: Coarse Agg from Two PCC Mix Designs
A brief description of the sample: One Bag of 3/8" x No. 8
From where was the sample collected: Other
Laboratory sample identification: D5 20-C-017
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Los Banos

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-24-0009::LOS BANOS
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: Don Chapin 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 on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2020-05-29-10-1
Test Method: AASHTO T96-02r10: Standard Method of Test for Resistance to Degradation of Small-Size Coarse Aggregate by Abrasion and Impact in the Los Angeles Machine (Los Angeles Rattler)
Verified Date: 06/04/2020
Date Tested: 06/04/2020
Submitted By Organization: CT D05 - San Luis Obispo District Laboratory
Organization Address: 50 Higuera Street,
Organization City: San Luis Obispo
Organization State: CA
Organization Zipcode: 93401
Organization Email: glenn.johnson@dot.ca.gov
Organization Phone: (805) 549-3158
General Comments for this Test: 45% loss maximum.
Test Result Compliance: complies
Additional Comments When Verified:
Grading designation C
Mass of sample on No.12 sieve (after 500 revolutions) 4423 grams
Percent loss after 100 revolutions 0 %
Percent loss after 500 revolutions 12 %