Sample Record for 2023-07-20-39
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 212112 DEA: 080C2514 EFIS: 0816000076 COOP: 081645
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-10-0.0/13.2
Work Description: Design-Build of I-10 Corridor Contract 1 - Adding 2 new Express Lanes
Location Description: LA/SBD County Line to PM 13.2 near I-15
Contractor Name: Lane-Security Paving Joint Venture
Contractor Address: 3450 Centre Lake Drive, 1st Floor, Ontario, CA 91761
Resident Engineer: Jose Corona Structure Rep.: Luis Negrete
Sample Information
DIME Sample ID: 2023-07-20-39
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Blythe Field Testing Laboratory
Sample Organization Contact: 9096015132
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 07/20/2023
Date that the sample was received by the laboratory/organization performing the testing: 07/21/2023
The quantity of what the sample constitutes: 3 bags
A brief description of the sample: 1 x 4 PCC Aggregate and Sand
From where was the sample collected: Manufacturer
Laboratory sample identification: test 1 14 cy out at1135 pm
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Lane security paving ONTARIO
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: 1613385
Lot number:
Sublot number:
Aggregate Mix Number:
Test Results
Test 1 of 1
DIME Test ID: 2023-07-20-39-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 07/26/2023
Date Tested: 07/21/2023
Submitted By Organization: CT D08 - Blythe Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: brian.teh@dot.ca.gov
Organization Phone: (909) 601-5132
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
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What type of gradation is being tested?
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Combined Gradation
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Cumulative percent passing the 2 in. sieve
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0 %
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Cumulative percent passing the 1 1/2 in. sieve
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100 %
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Cumulative percent passing the 1 in. sieve
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89 %
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Cumulative percent passing the 3/4 in. sieve
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59 %
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Cumulative percent passing the 1/2 in. sieve
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0 %
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Cumulative percent passing the 3/8 in. sieve
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21 %
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Cumulative percent passing the #4 sieve
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4 %
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Cumulative percent passing the #8 sieve
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2 %
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Cumulative percent passing the #16 sieve
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59 %
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Cumulative percent passing the #30 sieve
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38 %
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Cumulative percent passing the #50 sieve
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18 %
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Cumulative percent passing the #100 sieve
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9 %
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Cumulative percent passing the #200 sieve
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3 %
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