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Sample Record for 2021-06-05-4

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

Project Information

Project ID: 214586 DEA: 081H7704 EFIS: 0817000132 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-215-4.5/5.8
Work Description: INSTALL SIGN STRUCTURE, HMA, MODIFY RAMP METERING AND RETAINING WALL.
Location Description: SAN BENARDINO COUNTY IN SAN BERNARDINO FROM 0.5 MILE SOUTH OR ORANGE SHOW ROAD/AUTO PLAZA DRIVE OVERCROSSING TO 0.2 MILE NORTH OF INLAND CENTER DRIVE OVERCROSSING
Contractor Name: BEADOR CONSTRUCTION COMPANY INC
Contractor Address: 26320 LESTER CIRCLE, CORONA, CA 92883
Resident Engineer: Nicholas Mineo Structure Rep.: Stracner, Sylvia

Sample Information

DIME Sample ID: 2021-06-05-4
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Barstow Field Testing Laboratory
Sample Organization Contact: (760) 843-4173
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 06/05/2021
Date that the sample was received by the laboratory/organization performing the testing: 06/07/2021
The quantity of what the sample constitutes: 1 bag
A brief description of the sample: 8 30 at 20cy out
From where was the sample collected: Manufacturer
Laboratory sample identification: 1419984
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: beador construction

Material Information

Source Identification (SMARA or name of Pit): 91-36-0068
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: Stockpile @ Plant
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 1/2 inch
The concrete mix design number:
Lot number:
Sublot number:

Test Results

Test 1 of 2

DIME Test ID: 2021-06-05-4-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Submitted By Organization: CT D08 - Barstow Field Testing Laboratory
Organization Address: 13970 Victoria St,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: michael.yuen@dot.ca.gov
Organization Phone: (760) 843-4173
Data has not been verified.

Test 2 of 2

DIME Test ID: 2021-06-05-4-2
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 06/11/2021
Date Tested: 06/07/2021
Submitted By Organization: CT D08 - Barstow Field Testing Laboratory
Organization Address: 13970 Victoria St,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: michael.yuen@dot.ca.gov
Organization Phone: (760) 843-4173
General Comments for this Test:
Additional Comments When Verified:
What type of gradation is being tested? Combined Gradation
Does this test use 1/4 sieve? (question for HMA Gradation Type) No
Cumulative percent passing the 2 in. sieve 0 %
Cumulative percent passing the 1 1/2 in. sieve 100 %
Cumulative percent passing the 1 in. sieve 97 %
Cumulative percent passing the 3/4 in. sieve 72 %
Cumulative percent passing the 1/2 in. sieve 0 %
Cumulative percent passing the 3/8 in. sieve 46 %
Cumulative percent passing the #4 sieve 45 %
Cumulative percent passing the #8 sieve 38 %
Cumulative percent passing the #16 sieve 28 %
Cumulative percent passing the #30 sieve 18 %
Cumulative percent passing the #50 sieve 9 %
Cumulative percent passing the #100 sieve 4 %
Cumulative percent passing the #200 sieve 1 %

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.