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Sample Record for 2022-12-29-15

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

Project Information

Project ID: 214549 DEA: 081H2904 EFIS: 0817000006 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-173-18.7
Work Description: STRUCTURAL CONCRETE SOIL NAIL WALL AND SOLDIER PILE WALL.
Location Description: SAN BERNARDINO COUNTY NEAR CEDAR GLEN AT 0.1 MILE SOUTH OF HOSPITAL ROAD
Contractor Name: Stronghold Engineering, Inc.
Contractor Address: 150 W. Walnut Ave, Perris, CA 92571
Resident Engineer: Elvira Lenart Structure Rep.: Ravinder Singh

Sample Information

DIME Sample ID: 2022-12-29-15
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: 12/29/2022
Date that the sample was received by the laboratory/organization performing the testing: 12/29/2022
The quantity of what the sample constitutes: 3 bags
A brief description of the sample: 3/8" PCC Aggregate and Sand
From where was the sample collected: Manufacturer
Laboratory sample identification: test 1 17and haft cy out at 0725am
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: ROBERTSON LAKE ARROWHEAD

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: RRM19036
Lot number:
Sublot number:
Aggregate Mix Number:

Test Results

Test 1 of 1

DIME Test ID: 2022-12-29-15-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 01/03/2024
Date Tested: 01/02/2024
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 no data0 %
Cumulative percent passing the 1 1/2 in. sieve 100 %
Cumulative percent passing the 1 in. sieve 97 %
Cumulative percent passing the 3/4 in. sieve 80 %
Cumulative percent passing the 1/2 in. sieve no data0 %
Cumulative percent passing the 3/8 in. sieve 22 %
Cumulative percent passing the #4 sieve 6 %
Cumulative percent passing the #8 sieve 3 %
Cumulative percent passing the #16 sieve 60 %
Cumulative percent passing the #30 sieve 36 %
Cumulative percent passing the #50 sieve 17 %
Cumulative percent passing the #100 sieve 8 %
Cumulative percent passing the #200 sieve 4 %