Sample Record for 2022-03-31-28
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 215108 DEA: 07337604 EFIS: 0717000036
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-14-R28.9/R29.2
Work Description: REPLACE EXISTING STORM DRAIN, AND CONSTRUCT A COLLECTION SYSTEM.
Location Description: LOS ANGELES COUNTY IN AND NEAR SANTA CLARITA FROM 0.8 MILE NORTH OF PLACERITA CANYON ROAD UNDERCROSSING TO 0.5 MILE SOUTH OF GOLDEN VALLEY ROAD OVERCROSSING
Contractor Name: SEMA CONSTRUCTION, INC
Contractor Address: 42690 RIO NEDO STE. G;, TEMECULA CA 92590
Resident Engineer: Fred Young Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2022-03-31-28
TL Number from the TL Form: C-006565
Sample Submitted By Organization: CT D07 - Plant Services
Sample Organization Contact: 562-345-3126
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 03/31/2022
Date that the sample was received by the laboratory/organization performing the testing: 03/31/2022
The quantity of what the sample constitutes: 400 tons
A brief description of the sample: 3/4 AC Aggregate
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: All American Asphalt-Irwindale
Material Information
Source Identification (SMARA, name of Pit or Job Site): 91-33-0005
The fabricator's/manufacturer's product name for the sample: 3/4 HMA Type A
The fabricator/manufacturer designation for the sample: 105793
The plant number: Irwindale
A detailed description of where the material sample was collected: Cold Feed
Where the material sample would have been placed if not sampled: NB Route 14
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:
Test Results
Test 1 of 1
DIME Test ID: 2022-03-31-28-1
Test Method: AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent)
Verified Date: 05/17/2022
Date Tested: 04/08/2022
Submitted By Organization: CT D07 - Plant Services
Organization Address: 13230 East Firestone Boulevard, Suite G,
Organization City: Santa Fe Springs
Organization State: CA
Organization Zipcode: 90670
Organization Email: victor.zengler@dot.ca.gov
Organization Phone: (562) 345-3126
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
