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 - Hayward DME / District Laboratory
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, name of Pit or Job Site): 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:
Aggregate Mix 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 - Hayward DME / District Laboratory
Organization Address: 111 Grand Avenue,
Organization City: Oakland
Organization State: CA
Organization Zipcode: 94623
Organization Email: mohammad.dehghan@dot.ca.gov
Organization Phone: (510) 286-4717
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 - Hayward DME / District Laboratory
Organization Address: 111 Grand Avenue,
Organization City: Oakland
Organization State: CA
Organization Zipcode: 94623
Organization Email: mohammad.dehghan@dot.ca.gov
Organization Phone: (510) 286-4717
Data has not been verified.
