Sample Record for 2022-01-19-7
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 213598 DEA: 051F75U4 EFIS: 0518000092
QA Service Level: 1
DIST-CO-RTE-PM: 05-MON-101-R36.9/47.7
Work Description: CRCP, SEISMIC RETROFIT, BRIDGE WIDENING AND MEDIAN BARRIER
Location Description: MONTEREY COUNTY IN AND NEAR KING CITY FROM 0.4 MILE SOUTH OF WILD HORSE ROAD OVERCROSSING TO TEAGUE AVENUE
Contractor Name: OHL USA, INC.
Contractor Address: 1920 Main St. Suite 310, Irvine, CA 92614
Resident Engineer: Adam Rianda Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2022-01-19-7
TL Number from the TL Form:
Sample Submitted By Organization: CT D05 - Big Sur Field Laboratory
Sample Organization Contact: (805) 471-2100
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 01/19/2022
Date that the sample was received by the laboratory/organization performing the testing: 01/19/2022
The quantity of what the sample constitutes: 750 Tons
A brief description of the sample: Aggregate
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Granite Coalinga
Material Information
Source Identification (SMARA, name of Pit or Job Site): Granite
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: Batch Plant
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number:
Lot number: 9
Sublot number: 1
Aggregate Mix Number:
Test Results
Test 1 of 2
DIME Test ID: 2022-01-19-7-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Submitted By Organization: CT D05 - Big Sur Field Laboratory
Organization Address: 72115 Cabrillo Hwy,
Organization City: Big Sur
Organization State: CA
Organization Zipcode: 93920
Organization Email: adam.rianda@dot.ca.gov
Organization Phone: (805) 471-2100
This test has been superseded on 01/27/2022. The corrected test ID is: 2022-01-19-7-2
Reason: corrected
Test 2 of 2
DIME Test ID: 2022-01-19-7-2
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Submitted By Organization: CT D05 - Big Sur Field Laboratory
Organization Address: 72115 Cabrillo Hwy,
Organization City: Big Sur
Organization State: CA
Organization Zipcode: 93920
Organization Email: adam.rianda@dot.ca.gov
Organization Phone: (805) 471-2100
This test has been superseded on 01/28/2022.
Reason: corrected
