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Sample Record for 2022-01-31-1

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Project Information

Project ID: 214991 DEA: 044G2104 EFIS: 0412000310 QA Service Level: 1
DIST-CO-RTE-PM: 04-NAP-121-0.5/1
Work Description: WIDEN ROADWAY WITH HMA & REPLACE CULVERT WITH STRUCTURAL CONC BRIDGE.
Location Description: NAPA COUNTY NEAR NAPA FROM 0.2 MILE SOUTH TO 0.3 MILE NORTH OF HUICHICA CREEK BRIDGE
Contractor Name: GORDON N BALL INC
Contractor Address: 333 CAMILLE AVENUE, ALAMO CA 94507
Resident Engineer: DANILO PATENIA Structure Rep.: Nana Budu

Sample Information

DIME Sample ID: 2022-01-31-1
TL Number from the TL Form:
Sample Submitted By Organization: Con-Fab California Corporation - Lathrop
Sample Organization Contact: (209) 249-4700
Type of Sample: Quality Control
Type of Material: Aggregate
Sample Taken Date: 01/31/2022
Date that the sample was received by the laboratory/organization performing the testing: 01/31/2022
The quantity of what the sample constitutes: 1 Bucket of 1/2", 1 Bucket of 3/8", One Bucket of Sand
A brief description of the sample: 1/2", 3/8", and Sand
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Con-Fab California, LLC

Material Information

Source Identification (SMARA, name of Pit or Job Site): Con-Fab California, LLC
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:
Aggregate Mix Number:

Test Results

Test 1 of 3

DIME Test ID: 2022-01-31-1-1
Test Method: ASTM C566-19: Standard Test Method for Total Evaporable Moisture Content of Aggregate by Drying
Verified Date: 01/31/2022
Date Tested: 01/31/2022
Submitted By Organization: Con-Fab California Corporation - Lathrop
Organization Address: 1910 Lathrop Road,
Organization City: Lathrop
Organization State: CA
Organization Zipcode: 95330
Organization Email: dannyc@confabca.com
Organization Phone: (209) 249-4717
General Comments for this Test: Rock
Test Result Compliance:
Additional Comments When Verified:
Total evaporable moisture content 0.4 %

Test 2 of 3

DIME Test ID: 2022-01-31-1-2
Test Method: ASTM C566-19: Standard Test Method for Total Evaporable Moisture Content of Aggregate by Drying
Verified Date: 01/31/2022
Date Tested: 01/31/2022
Submitted By Organization: Con-Fab California Corporation - Lathrop
Organization Address: 1910 Lathrop Road,
Organization City: Lathrop
Organization State: CA
Organization Zipcode: 95330
Organization Email: dannyc@confabca.com
Organization Phone: (209) 249-4717
General Comments for this Test: Sand
Test Result Compliance:
Additional Comments When Verified:
Total evaporable moisture content 3.8 %

Test 3 of 3

DIME Test ID: 2022-01-31-1-3
Test Method: ASTM C136-19: Standard Test Method for Sieve Analysis of Fine and Coarse Aggregates
Verified Date: 02/04/2022
Date Tested: 02/02/2022
Submitted By Organization: Con-Fab California Corporation - Lathrop
Organization Address: 1910 Lathrop Road,
Organization City: Lathrop
Organization State: CA
Organization Zipcode: 95330
Organization Email: dannyc@confabca.com
Organization Phone: (209) 249-4717
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
What type of gradation is being tested? Combined Gradation
Cumulative percent passing the 2 in. sieve 100 %
Cumulative percent passing the 1 1/2 in. sieve 100 %
Cumulative percent passing the 1 in. sieve 100 %
Cumulative percent passing the 3/4 in. sieve 100 %
Cumulative percent passing the 1/2 in. sieve 94 %
Cumulative percent passing the 3/8 in. sieve 74.8 %
Cumulative percent passing the #4 sieve 48.3 %