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Sample Record for 2022-04-25-20

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

Project Information

Project ID: 214681 DEA: 021H5104 EFIS: 0216000148 QA Service Level: 1
DIST-CO-RTE-PM: 02-TEH-99-9.0/9.3
Work Description: CHAMPLIN SLOUGH
Location Description: REPLACE BRIDGE IN TEHAMA COUNTY NEAR LOS MOLINOS FROM 0.2 MILE SOUTH TO 0.2 MILE NORTH OF CHAMPLIN SLOUGH
Contractor Name: VIKING CONSTRUCTION COMPANY, INC.
Contractor Address: 11315 Sunrise Gold Circle, Suite A, Rancho Cordova, CA 95742
Resident Engineer: George Moore Structure Rep.: George Moore

Sample Information

DIME Sample ID: 2022-04-25-20
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: 04/25/2022
Date that the sample was received by the laboratory/organization performing the testing: 04/25/2022
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: Aggregate sampled at Stockpile
From where was the sample collected: Source
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 at the 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 on following page(s): 5

Test Results

Test 1 of 5

DIME Test ID: 2022-04-25-20-1
Test Method: ASTM C136-19: Standard Test Method for Sieve Analysis of Fine and Coarse Aggregates
Verified Date: 05/03/2022
Date Tested: 04/26/2022
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 93.3 %
Cumulative percent passing the 3/8 in. sieve 74.4 %
Cumulative percent passing the #4 sieve 49.5 %

Test 2 of 5

DIME Test ID: 2022-04-25-20-2
Test Method: ASTM D2419-14: Standard Test Method for Sand Equivalent Value of Soils and Fine Aggregate
Verified Date: 05/03/2022
Date Tested: 04/27/2022
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:
Sand Equivalent 79

Test 3 of 5

DIME Test ID: 2022-04-25-20-3
Test Method: ASTM C117-17: Standard Test Method for Materials Finer than 75-μm (No. 200) Sieve in Mineral Aggregates by Washing
Verified Date: 05/03/2022
Date Tested: 04/26/2022
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:
Percent finer than No. 200 sieve 1.3 %

Test 4 of 5

DIME Test ID: 2022-04-25-20-4
Test Method: ASTM C117-17: Standard Test Method for Materials Finer than 75-μm (No. 200) Sieve in Mineral Aggregates by Washing
Verified Date: 05/03/2022
Date Tested: 04/27/2022
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: 3/8" Rocks
Test Result Compliance:
Additional Comments When Verified:
Percent finer than No. 200 sieve 1.1 %

Test 5 of 5

DIME Test ID: 2022-04-25-20-5
Test Method: ASTM C117-17: Standard Test Method for Materials Finer than 75-μm (No. 200) Sieve in Mineral Aggregates by Washing
Verified Date: 05/03/2022
Date Tested: 04/27/2022
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: 1/2" Rocks
Test Result Compliance:
Additional Comments When Verified:
Percent finer than No. 200 sieve 1.4 %