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Sample Record for 2021-04-21-15

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

Project Information

Project ID: 214885 DEA: 080K1234 EFIS: 0815000242 QA Service Level: 1
DIST-CO-RTE-PM: 08---
Work Description:
Location Description:
Contractor Name: SULLY-MILLER CONTRACTING COMPANY
Contractor Address: 135 S STATE COLLEGE BLVD #400, BREA CA 92821
Resident Engineer: Taghreed Al-Khateeb Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-04-21-15
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Barstow Field Laboratory 1
Sample Organization Contact: (760) 252-9216
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 04/21/2021
Date that the sample was received by the laboratory/organization performing the testing: 04/22/2021
The quantity of what the sample constitutes: 1 bag
A brief description of the sample: blended aggs
From where was the sample collected: Manufacturer
Laboratory sample identification: lot 1 sublot 121
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Sully Miller

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-36-0046
The fabricator's/manufacturer's product name for the sample: blue dimond
The fabricator/manufacturer designation for the sample:
The plant number:
A detailed description of where the material sample was collected: Plant
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number: 300072 -LSM-LC
Lot number: 1
Sublot number:
Aggregate Mix Number:

Test Results

Test 1 of 1

DIME Test ID: 2021-04-21-15-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 04/23/2021
Date Tested: 04/22/2021
Submitted By Organization: CT D08 - Barstow Field Laboratory 1
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: kaushalkumar.talati@dot.ca.gov
Organization Phone: (951) 840-8328
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
What type of gradation is being tested? Combined Gradation
Cumulative percent passing the 2 in. sieve 0 %
Cumulative percent passing the 1 1/2 in. sieve 0 %
Cumulative percent passing the 1 in. sieve 100 %
Cumulative percent passing the 3/4 in. sieve 98 %
Cumulative percent passing the 1/2 in. sieve 89 %
Cumulative percent passing the 3/8 in. sieve 74 %
Cumulative percent passing the #4 sieve 37 %
Cumulative percent passing the #8 sieve 25 %
Cumulative percent passing the #16 sieve 19 %
Cumulative percent passing the #30 sieve 12 %
Cumulative percent passing the #50 sieve 7 %
Cumulative percent passing the #100 sieve 3 %
Cumulative percent passing the #200 sieve 1.9 %