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Sample Record for 2023-03-02-1

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

Project Information

Project ID: 214341 DEA: 081J2004 EFIS: 0817000237 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-15-R21.5/R22.0
Work Description: EXTEND DECELARATION LANE
Location Description: SAN BERNARDINO COUNTY NEAR HESPERIA FROM 0.1 MILE NORTH OF ROUTE 15/138 SEPARATION TO GISH OVERHEAD
Contractor Name: SECURITY PAVING COMPANY, INC.
Contractor Address: 13170 TELFAIR AVE, SYLMAR, CA, 91342
Resident Engineer: Shaun Loza Structure Rep.: Ravinder Singh

Sample Information

DIME Sample ID: 2023-03-02-1
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Barstow Field Laboratory 1
Sample Organization Contact: (760) 252-9216
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 03/02/2023
Date that the sample was received by the laboratory/organization performing the testing: 03/02/2023
The quantity of what the sample constitutes: 3 Bags Combined Aggregate
A brief description of the sample: 1.5" PCC AGRREGATE
From where was the sample collected: Fabricator
Laboratory sample identification: test 1 20tons out at0750 aM
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Security Paving batch plant

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-36-0046
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: At the plant
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 1-1/2 inch
The concrete mix design number: RRM22121
Lot number:
Sublot number:
Aggregate Mix Number:
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2023-03-02-1-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 03/03/2023
Date Tested: 03/02/2023
Submitted By Organization: CT D08 - Barstow Field Laboratory 1
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: kaushalkumar.talati@dot.ca.gov
Organization Phone: (951) 840-8328
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
What type of gradation is being tested? Combined Gradation
Cumulative percent passing the 2 in. sieve 0 %
Cumulative percent passing the 1 1/2 in. sieve 100 %
Cumulative percent passing the 1 in. sieve 94 %
Cumulative percent passing the 3/4 in. sieve 86 %
Cumulative percent passing the 1/2 in. sieve 0 %
Cumulative percent passing the 3/8 in. sieve 27 %
Cumulative percent passing the #4 sieve 5 %
Cumulative percent passing the #8 sieve 4 %
Cumulative percent passing the #16 sieve 64 %
Cumulative percent passing the #30 sieve 45 %
Cumulative percent passing the #50 sieve 23 %
Cumulative percent passing the #100 sieve 8 %
Cumulative percent passing the #200 sieve 2 %