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Sample Record for 2020-10-07-37

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

Project Information

Project ID: 66666 DEA: APP EFIS: 0019000052 QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for submitting Sample information for Aggregate Pre-approval Program (APP). Object Code: 1025. J2 DEA: 912680.
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-10-07-37
TL Number from the TL Form: Twining Long Beach
Sample Submitted By Organization: Coast Aggregates
Sample Organization Contact: 714-393-3853
Type of Sample: Aggregate Prequalification Program
Type of Material: Aggregate
Sample Taken Date: 10/07/2020
Date that the sample was received by the laboratory/organization performing the testing: 10/09/2020
The quantity of what the sample constitutes: 10 5 gallon buckets of each material
A brief description of the sample: Split samples of 1", 3/8" & washed concrete sand
From where was the sample collected: Source
Laboratory sample identification: 1707511
Structure unique identifier:
Structure name: N / A
The fabricator/manufacturer/facility name: Coast Aggregates, Big Rock

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-19-0054::BIG ROCK CREEK - LEBATA
The fabricator's/manufacturer's product name for the sample: Big Rock C33 Samples
The fabricator/manufacturer designation for the sample: Big Rock C33 Split Sample
The plant number: NA
A detailed description of where the material sample was collected: From stockpiles at source
Where the material sample would have been placed if not sampled: Loaded into Transportation Units
Primary Aggregate Nominal Size: fine
The concrete mix design number: NA
Lot number: 1
Sublot number: 1
Aggregate Mix Number:

Test Results

Test 1 of 1

DIME Test ID: 2020-10-07-37-1
Test Method: ASTM C40-11: Standard Test Method for Organic Impurities in Fine Aggregates for Concrete
Verified Date: 09/20/2021
Date Tested: 10/20/2020
Submitted By Organization: Coast Aggregates
Organization Address: 25901 Towne Centre Drive,
Organization City: Foothill Ranch
Organization State: CA
Organization Zipcode: 92610
Organization Email: ekrip@bristolmsi.com
Organization Phone: (714) 393-3853
General Comments for this Test: Test made per ASTM C40 rather than CT213
Test Result Compliance:
Additional Comments When Verified:
Does the fine aggregate possibly contain injurious organic impurities? No