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Sample Record for 2020-08-04-5

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

Project Information

Project ID: 214059 DEA: 042K7504 EFIS: 0417000019 QA Service Level: 1
DIST-CO-RTE-PM: 04-SCL-152-7.6/M10.2
Work Description: ROADWAY REHAB, CURB RAMPS, SIGNALS, AND STRIPING UPGRADES.
Location Description: SANTA CLARA COUNTY IN GILROY FROM 0.3 MILE WEST OF SANTA TERESA BOULEVARD TO ROUTE 101
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 585 West Beach Street, Watsonville, CA 95076
Resident Engineer: Gene Malonzo Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-08-04-5
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - DME / District Lab
Sample Organization Contact: (510) 507-3456
Type of Sample: Verification
Type of Material: Aggregate
Sample Taken Date: 08/04/2020
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 16 bags
A brief description of the sample: 3/8" Aggregate
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Granite Construciton Los Banos

Material Information

Source Identification (SMARA or name of Pit): 91-24-0009
The fabricator's/manufacturer's product name for the sample:
The fabricator/manufacturer designation for the sample:
The plant number:
A detailed description of where the material sample was collected: Los Banos Plant
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/8 inch
The concrete mix design number:
Lot number:
Sublot number:

Test Results

Test 1 of 2

DIME Test ID: 2020-08-04-5-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Submitted By Organization: CT D04 - DME / District Lab
Organization Address: 21339 Cabot Blvd,
Organization City: Hayward
Organization State: CA
Organization Zipcode: 94545
Organization Email: mohammad.dehghan@dot.ca.gov
Organization Phone: (510) 507-3456
Data has not been verified.

Test 2 of 2

DIME Test ID: 2020-08-04-5-2
Test Method: AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity)
Submitted By Organization: CT D04 - DME / District Lab
Organization Address: 21339 Cabot Blvd,
Organization City: Hayward
Organization State: CA
Organization Zipcode: 94545
Organization Email: mohammad.dehghan@dot.ca.gov
Organization Phone: (510) 507-3456
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.