Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214830 DEA: 043G6304 EFIS: 0412000409
QA Service Level: 1
DIST-CO-RTE-PM: 04-SCL-4-SCl-9 -4.75/4.9
Work Description: Saratoga Creek Bridge Rehabilitation Project
Location Description: San Jose - Saratoga Creek
Contractor Name: Myers and Sons
Contractor Address: 4600 NORTHGATE BLVD, STE 100, SACRAMENTO, CA 95834
Resident Engineer: Arif Khan Structure Rep.: OANH BUI
DIME Sample ID: 2023-10-02-5
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: 10/02/2023
Date that the sample was received by the laboratory/organization performing the testing: 10/02/2023
The quantity of what the sample constitutes: 1 bucket of 1", 3/8" and Sand
A brief description of the sample: 1 bucket of 1/2", 3/8" and Sand
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: ConFab Lathrop
Source Identification (SMARA, name of Pit or Job Site): Confab California Lathrop
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
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:
DIME Test ID: 2023-10-02-5-1
Test Method: ASTM C136-19: Standard Test Method for Sieve Analysis of Fine and Coarse Aggregates
Verified Date: 10/04/2023
Date Tested: 10/04/2023
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?
|
0.5 in. x No. 4 - Coarse Aggregate
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Cumulative percent passing the 3/4 in. sieve
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100 %
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Cumulative percent passing the 1/2 in. sieve
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95.3 %
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Cumulative percent passing the 3/8 in. sieve
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75.2 %
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Cumulative percent passing the #4 sieve
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50.6 %
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Cumulative percent passing the #8 sieve
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40.3 %
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DIME Test ID: 2023-10-02-5-2
Test Method: ASTM D2419-14: Standard Test Method for Sand Equivalent Value of Soils and Fine Aggregate
Verified Date: 10/04/2023
Date Tested: 10/04/2023
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:
DIME Test ID: 2023-10-02-5-3
Test Method: ASTM C117-17: Standard Test Method for Materials Finer than 75-μm (No. 200) Sieve in Mineral Aggregates by Washing
Verified Date: 10/04/2023
Date Tested: 10/04/2023
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: 1.3%
3/8": 1.1%
1/2": 0.7%
Test Result Compliance:
Additional Comments When Verified:
Percent finer than No. 200 sieve
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1.3 %
|